Secondary Infertility : What is it and Why does it happen

Secondary Infertility : What is it and Why does it happen
Female Reproductive age is the main culprit. With age, chance of getting pregnant naturally diminishes

‘Secondary infertility’ adds up to about 20-30 per cent cases of total infertility cases that happens in India. As per reports  instances of women facing problems getting pregnant for the second time is a growing concern especially in urban India.

I already have a child, so why can’t I get pregnant again?……you are facing Secondary Infertility

We have a kind of thought process that goes like, if you succeed with first pregnancy then it would happen naturally second time too….but this not be the case. The fact is, it is extremely difficult for couples to believe that they will have to take some medical intervention to become parents again.

Secondary Infertility is defined as “When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth.”

So this includes women

Who repeatedly and spontaneously miscarry

Whose pregnancy results in a stillbirth

Are unable to carry pregnancy to a live birth (failed/successful first pregnancy)

Secondary infertility:  Why does it happen?

Female Reproductive age is the main culprit. With age, chance of  getting pregnant naturally diminishes. Women are born with all of the eggs (oocytes) they will ever have. As women age their ovarian reserve diminishes, which means that their egg quantity and quality decreases with time.

Status of the pelvic organs. Presence of fibroid or a polyp in uterus could be the trouble maker

About one-third of infertility cases are related to male infertility. It could be due to low or absent sperm count, problems with sperm shape or problems with sperm motility

Weight too could be the problem. Being over or underweight alters ovulation in women. It also can impact sperm health in men.

Lifestyle diseases like diabetes, blood pressure, cardiovascular problems and even depression can lead to secondary infertility

The everyday stress of being a parent can also be a contributing factor. Sleep deprivation,  busy household, managing a toddler  all can add to it.

Secondary infertility

Secondary Infertility Treatment Options

Treatment option does not mean head straight to IVF clinic. The truth is many fertility treatment options are available like infertility medications to intrauterine insemination. But the key point is more you delay, more difficult it’s going to be. Medical team suggests that couple should meet fertility specialist if they are unable to get pregnant again after six months of trying if they are over 35, or one year of trying if they are under 35. 

Very much like primary infertility, secondary infertility screening will also include looking for hormonal, environmental, immunological and physiological causes.

Semen Analysis – Male patients will have to go for semen analysis to determine motility and sperm count

Female check up – This would include ultrasounds to determine whether ovulation and egg release is happening normally,  X-ray to look for blocked fallopian tubes etc

Once detailed check up and discussion are carried out expert could suggest the treatment procedure.

This could start with

Read moreSecondary Infertility : What is it and Why does it happen

10 Most Unpleasant Things About Pregnancy

Our minds are filled with images of happy pregnant and new moms we see on billboards, ads and pinterest. But truth may not be always this…..

Becoming a mother is like discovering the existence of a strange new room in the house where you already live –  Sarah Walker

Are you pregnant, Are you going to start this journey or are you already a new mom. This post is for you all. The true fact is however well you prepare mentally and physically and how much ever you read about motherhood, the moment the little one is born, a mother feels as if she is on a roller coaster ride.

The lifestyle and parenting magazines have created a false image that journey of being pregnant and motherhood is something one should for sure enjoy and it only has happiness. Our minds are filled with images of happy pregnant and new moms we see on billboards, ads and pinterest. But truth may not be always this…..

1.For most new moms, breast-feeding doesn’t come easily

Though breastfeeding is a natural process, it need not be easy. Less than 50% moms manage to breast-feed exclusively for the six months that are recommended for a baby’s health. The moms who quit mostly are those who have faced trouble with breast-feeding in the first week with a new baby.

  • Sore or Burning nipples
  • Poor or Excess milk supply
  • Plugged milk ducts
  • Flat or inverted nipples
  • Breast infection
  • Breast engorgement
  • Latching problem

2.Hate every minute of pregnancy

Half the female population hate being pregnant. Many a times people around and society are only happy about the pregnancy news and mother to be is left to bear all the pain and trauma associated with pregnancy by themselves. The process of carrying fetus for 40+ weeks is a tough job and for large number of women the journey becomes tougher with accounts of morning sickness, constipation, fatigue, body ache, swollen ankles and sore breasts.

Journey becomes tougher with accounts of morning sickness, constipation, fatigue, body ache, swollen ankles and sore breasts

Many people assume that if you hate being pregnant, you’ll hate being a mother.The fact is to hate ‘pregnancy’ is normal. Not liking pregnancy has no correlation with not liking the ‘Baby’.

3.Some moms don’t bond with their baby instantly

Read more10 Most Unpleasant Things About Pregnancy

The Journey of Motherhood

Giving birth is a great adventure which only a woman can experience

What is it to be like a mother….Every women who has traveled this journey would agree that they are no longer the same women after pregnancy – physically and emotionally. Pregnancy lasts an average of 266 days (38 weeks) and leaves a lasting imprint.  An in depth awareness about this journey would for sure equip women wishing to be mothers and would make women who are already mothers respect their body and health and make them feel more happy and empowered. Also an understanding about what happens in majority of women would help one to seek help when needed.

A woman is going to carry a life form for whole nine months. it’s a remarkable journey. Body undergoes many obvious and subtle changes. These changes are needed to support the fetal development and prime the mother towards labor. Ribcage will widen,  tummy will stretch, and  organs will shift around to make room for your growing uterus.

Pregnancy lasts an average of 266 days (38 weeks) and leaves a lasting imprint.

Breast Changes: Cup size to Color to Colostrum release

Breasts may start to grow as early as week six, and will continue till the end of the pregnancy. Most women find that their bra size increases at least a cup size during first pregnancy. An increased supply of blood to the breasts along with the quick growth of milk ducts would make breast more tender and sometimes pain develops. By third trimester Colostrum, a watery pre-milk, may leak from nipples. Hormonal changes during pregnancy also shape nipples so that baby can more easily latch on.

Skin changes: Glow to acne to stretch marks

Read moreThe Journey of Motherhood