Approximately 3 million women in the U.S. are affected by secondary infertility, which is defined as the inability to become pregnant or to carry a pregnancy successfully after previous success in delivering a child.
Individuals experiencing secondary infertility are less likely to seek treatment than those who experience primary infertility. This is due in part to the perception that because they were able to conceive before, they should be able to again. However, several changes can occur that may alter a woman's ability to conceive.
Causes of secondary infertility
The causes for secondary infertility are often the same as for primary infertility, including:
Ovulation problems, including Polycystic Ovary Syndrome (PCOS)
Endometriosis
Pelvic adhesions
Uterine fibroids or polyps
Diminished ovarian reserve
Low sperm count
Ejaculatory problems
These underlying medical conditions can develop for a number of reasons. A previous C-section, infection, weight gain and even age can adversely affect a woman's reproductive health. Men, too, might experience difficulties as a result of stress, age or other similar issues.
Treatment for Secondary Infertility
Generally, it is recommended that individuals see fertility specialists after trying unsuccessfully to conceive for 8-12 months. For people over age 35 or who have known medical conditions, it is generally recommended they see a specialist much sooner.
Treating secondary infertility depends largely on any underlying medical conditions. Through the Couples Clinic at UW Health's Generations Fertility Care, both members of the couple undergo a routine evaluation. Since infertility is not simply a woman's problem, evaluating both members ensures the most effective treatments can be recommended.