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Secondary infertility


Secondary infertility It is defined as the inability to conceive after 1 year of consistent attempts without using contraception. As many as 10% to 15% of couples who desire to have children experience infertility. This condition can be considered as primary and secondary.

Primary Infertility refers to infertility that occurs in couples who have had no previous conception. Secondary Infertility refers to infertility that occurs in couples who have previously conceived.

Addressing the topic

Talking to a couple about secondary infertility and its treatment requires many skills. For instances, you need to guide them sensitively through rigorous tests and treatments – some of which may be painful and embarrassing. At the same time, you need to help them deal with their own emotions. Furthermore you can call a specialist to use complex methods of rational emotive behavior therapy.

Bittersweet emotions

A diagnosis of secondary infertility may stir up many feelings and conflicts, such as anger, guild, and blame, which may disrupt relationships and alter self-esteem. What is more, although treatment heightens the hope of conception, it can also lead to deep disappointment if this condition measures fail. Infertile couples need open communication to help build their trust and confidence in the health care team. Understandably, many couples feel uncomfortable discussing their sex life, let alone having intercourse assigned on a rigid schedule that is designed to take advantage of peak fertile days.

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Teaching topics on infertility

There is secondary infertility support that is given to people with this problem. Most of these are health teachings pertaining to their undesired condition:

  • Definition of infertility;
  • Possible secondary infertility causes, such as ovulatory dysfunction due to smoking risks (both direct smoking and passive smoking side effects), cervical erosion, and other structural abnormalities related through unhealthy activities.
  • Fertility drugs, including menotropins (Pergonal) and clomiphene (Clomid);
  • Explanation of in vitro fertilization-embryo transfer and gamete intrafallopian transfer, if appropriate;
  • Artificial insemination;
  • Surgery to promote fertility, including varicocelectomy, hysteroscopy, laparoscopy, and laparotomy;
  • Psychological counseling.

Treatment options

The secondary infertility treatment can be treated with drugs, special procedures, or various types of surgery.


Drugs can be used in two ways to help treat unexplained secondary infertility. First, they may be prescribed to treat certain condition that inhibits infertility. For example, antibiotics may be prescribed for infections or danazol may be ordered for a patient with endometriosis. Drugs designed to initiate ovulation, improve cervical mucus, or stimulate sperm production may also be prescribed.

For men whose infertility is caused by hypogonadism secondary to pituitary or hypothalamic failure, treatment may include human menopausal gonadotropins include hCG. These medications are highly effective in achieving sperm quality that is sufficient to induce pregnancy.

For women, the type of fertility drug prescribed depends on the type of anovulation.

Why can’t i get pregnant again?

Physiologically speaking a need to a normal ovulation process including the ovum and sperm must meet in order for itself to be fertilized. The amount of sperm count depends on the chances of pregnancy. However, there are certain factures that can cause secondary infertility. Smoking is one of the deadliest activities that can cause this condition. There are current reports that nicotine can affect the prostate glands which are responsible for the production of sperm for men. Learn more about the effects of smoking and ways to stop smoking right out from corresponding articles of our portal. Once this specific organ is affected, the chance of releasing the number of sperm is affected as well. The secondary infertility causes several complications such as abnormal fertilization of the egg. Other cases when fertilization takes place eventually can affect the normal count of chromosomes that can be identified in the DNA of the developing zygote.

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The extent of secondary infertility is different from the primary infertility. The chances of conceiving a child for this case is possible compare to the primary. The only thing that they need to do is to modify their lifestyle which can contribute to the causes of this condition. There are other procedures that are available as well to provide them a better options for conceiving a child.

In Vitro fertilization-embryo transfer

IVF-ET refers to the removal of one or more mature oocytes (egg cell) from a woman’s ovary by laparoscopy. After removal, these egg cells are fertilized by exposing them to sperm under laboratory conditions outside the woman’s body. Embryo transfer (ET) is the insertion of these laboratory-grown fertilized ova (zygotes) into the woman’s uterus. This is performed approximately 40 hours after fertilization. Ideally, one or more zygote implant. IVF-ET circumvents the need for a fallopian tube to pick up an ovum or to propel a fertilized ovum to the uterus.

The perfect candidates

IVF-ET is performed for couples who have not been able to conceive as a result of damaged or blocked fallopian tubes. It can also be sued if the man has oligospermia (low sperm count) or if the woman lacks the cervical mucus that enables sperm to travel from the vagina into the cervix.

Agents of ovulation

The woman is given an ovulation drug, such as clomiphene or menotropins (Pergonal). On about the tenth day of her menstrual cycle, the ovaries are examined; when the size of the follicles appears to be mature, the woman is given an injection of hCG hormone. This causes ovulation to occur within 38 to 42 hours. Then the IVF-ET procedure is performed.

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Delores C. West is a compassionate healthcare professional with a focus on women's health and wellness. As a certified nurse-midwife, Delores is dedicated to providing comprehensive care to women throughout their reproductive journey. With a warm and nurturing approach, she empowers her patients to make informed decisions about their health and well-being. Delores's expertise in women's health makes her a trusted resource for individuals seeking personalized and compassionate care. Connect with her on LinkedIn to learn more about her commitment to women's health and wellness.