Secondary infertility is the lack of conception in a couple who have previously had a baby without fertility treatment. Secondary infertility, occurs frequently and as in cases of primary infertility, couples are advised that after a year of unprotected sexual intercourse they should go to the fertility specialist so that the necessary studies are done.
There are many factors that can affect. We must take into account the antecedents of pregnancy and childbirth or previous misscarriage. The complications of births or miscarriage can lead to certain issues that often have to be treated. The age of the couple is very important. There is an important difference achieving a pregnancy at 25 or 30 years than a second pregnancy at 37 or 40 years.
The general health of the couple is another reason to be taken into account, starting with excessive weight loss or gain, the appearance of diseases such as diabetes, hypothyroidism, autoimmune diseases, previous operations that can leave sequels-pelvic adhesions, infectious diseases and / or inflammations of the female reproductive system, complicated ectopic pregnancies that can result in obstruction of one or both of the fallopian tubes. In the case of the male, age also decreases the quality of the sperm, the appearance of varicoceles, testicular traumatisms, episodes of prostatitis, vesiculitis, epididymitis and other testicular diseases. Excessive use of alcohol, tobacco, drugs, exposure to toxic substances or radiation, etc.
When should you go to the specialist? And what treatments are available when the second pregnancy does not occur?
After a year of trying for a baby, if pregnancy is not achieved, it is important to consult directly with a reproductive specialist, to make an adequate clinical history and the necessary studies.
The treatments will be according to the findings, if you can find out exactly what the issue is a new spontaneous pregnancy can be achieved. In other occasions it is necessary to go to the so-called Assisted Reproduction Technique, or Fertility Treatment.
Recommendations when the second pregnancy does not arrive
It is advisable not to let many years pass between one pregnancy and another, no more than 3 or 4 years, especially if you are in your 40s. If you are aware of any important factors such as previous complicated births or misscarriage, curettage or ectopic pregnancies, or infectious or inflammatory diseases of the pelvis you should visit a Fertility expert as soon as you want to get pregnant. The doctor will advise what tests are needed according to the detailed medical history, avoiding having to wait a long time. “If everything is fine, pregnancy will come soon” And of course, we strongly recommended to avoid the use of toxic substances such as excess alcohol, tobacco or drugs. Do sport and have a healthy diet.
Dr. Hugo Benito
Ginecólogo – Experto en Fertilidad en CERAM