Should I Do Hsg Again for Second Kid

Secondary infertility is when a couple is having problem getting pregnant after successfully having a kid (or children) in the past. Many women who don't experience any issues getting pregnant with their first kid may notice it more difficult to get significant the second time around.

Reproductive Endocrinologists, Dr. Scott Morin and Dr. Jonathan Kort explain exactly why this happens and how to have a successful pregnancy if you are experiencing difficulties achieving pregnancy after your starting time child.

What is Secondary Infertility?

A woman's fertility declines with historic period, sometimes information technology can be harder to get pregnant with a 2nd child than it was with the first. When a woman has problem getting significant on her own later on a previously successful natural conception and nascency, fertility doctors refer to this every bit secondary infertility. Secondary fertility can often exist treated with fertility treatment.

What is the difference between Principal Infertility and Secondary Infertility?

Primary infertility is more commonly referred to every bit simply, infertility. Primary infertility is diagnosed when a couple fails to become pregnant after 6-12 months of trying. Secondary infertility is when a couple fails to become meaning later successfully giving birth in the past.

The causes of primary and secondary infertility are nearly identical, only the emotional touch on tin be very different from each other. Fortunately, fertility treatments for master and secondary infertility are the same and both have high success rates.

How mutual is secondary infertility?

Secondary infertility is as common equally primary infertility. Infertility affects 1 in 8 couples trying to conceive or about 12.5 pct.

Out of all infertility causes, secondary infertility makes up most fifty percent of all cases.

Causes of Secondary Infertility

Secondary infertility tin be caused by bug with the female or male person partner.

• Well-nigh 33% of all infertility cases stalk from issues with the female person partner.
• Another 33% of cases stem from the male partner.
• The remaining 33% are a combination of issues from both the male and female partner

Causes of secondary infertility in women

• Egg quality or quantity: A woman is born with all the eggs she'll ever have, and that supply slowly decreases equally she releases eggs every calendar month during her menstrual bicycle. So as a woman ages, she has fewer eggs, and fewer good quality eggs – both factors that reduce her chances of getting meaning naturally.Generally, a woman is most fertile in her mid-to-late-20s, later on which bespeak her fertility begins to turn down slowly until age 35 when the pass up accelerates. That said, every woman is different, and that decline can begin before or later. Because fertility declines with age, it'due south possible – and even common – for women who had no trouble getting pregnant with their offset child to struggle to conceive the second fourth dimension effectually, when they are older and less fertile.
• Damaged or blocked fallopian tubes: Issues with the fallopian tubes can hinder the egg from traveling to the ovaries successfully.
• Issues with the uterus: Scaring from a C-section or fibroids may likewise cause infertility.
• Endometriosis: Endometriosis is a very common cause of infertility. Information technology is a condition where tissue that typically grows inside the uterus grows in places similar the ovaries.
• Polycystic Ovary Syndrome (PCOS): A hormonal disorder that causes women to have infrequent or prolonged periods. PCOS patients may also take excess androgen levels (male hormones). Patients with PCOS oft develop small collections of fluid around their ovaries which inhibit eggs from releasing.
• Lifestyle: An increment in BMI and/or sure medications may likewise lead to ovary dysfunction and affect your fertility.

Causes of secondary infertility in men

Male infertility is mainly caused past issues with their sperm, hormonal imbalances, or problems related to their reproductive anatomy.

• Depression sperm count: Low testosterone levels, a blocked duct, and fifty-fifty certain medications can cause low sperm count.
• Sperm abnormalities: Sperm may be abnormal in shape or may not be able to swim to the egg well plenty for fertilization to occur.
• Azoospermia: Azoospermia is when a man has no viable sperm. This ways that his body produces abnormal sperm.
• Varicocele: Think of a varicocele as a varicose vein in the scrotum. This may raise the temperature in the testes to higher-than-normal levels which tin alter sperm production.
• Anti-sperm antibodies: Some men and women have anti-sperm antibodies that make it hard for them to achieve a pregnancy.

Can a C-Section crusade secondary infertility?

Roughly twenty% of women who gave nascence via cesarean section reported difficulties getting pregnant with a second child.

A C-department causes scarring and sometimes this scarring can cause inflammation or obstructions that tin can make becoming pregnant more difficult.

Scar tissue can besides grow and course large masses and cause endometriosis.

Secondary Infertility, Dr. Lange | RMA of Philadelphia, Fertility Clinic

When should I meet a doctor for secondary fertility?

The guidelines on when you should run into a fertility physician for secondary infertility are exactly the same equally for any woman trying to get meaning.

You should seek the assistance of a reproductive endocrinologist if you are under 35 years old and trying to conceive for 12 months.

It is recommended that you seek help later on just vi months of trying if you are 35 years old or older.

Tin can you go pregnant with secondary infertility?

The short respond is yes, you can become meaning with secondary infertility, only yous may demand to seek out the aid of a fertility md, and hither's why.

While women over the historic period of 35 nonetheless have eggs left, information technology becomes more than hard to get pregnant because the eggs are of lower quality.

Inquiry performed past doctors at RMA showed that a woman's age impacts the viability of the embryos created from her eggs.

Namely, the older a woman, the more than probable it is that her eggs take a chromosomal error which will, in turn, event in embryos being aneuploid, or chromosomally abnormal.

For example, in her mid-to-late 20s, the rate of aneuploidy in a woman'southward eggs is a little more than than 20 percent, rises to the mid-30s by age 35, is about 50 pct by age twoscore, and is well-nigh xc percent by age 42 and 43.

This means that while about 20 percent of the embryos a woman creates may be abnormal in her late 20s, nigh 90 percent could exist abnormal by her early 40s. That is a significant change in a petty over a decade.

What does aneuploidy have to do with a successful pregnancy?

A lot. The opposite of aneuploid is euploid, which means an embryo is chromosomally normal, or that it has the normal amount of chromosomes and has a good chance of implanting inside the uterus and leading to a successful pregnancy.

Aneuploid embryos, on the other hand, have as well few or too many chromosomes, and ofttimes fail to implant inside the uterus.

In the chance they do implant, they often lead to miscarriage or an afflicted child.

So the older the adult female, the higher her chances of producing aneuploid embryos that fail to implant, leading to infertility.

How can I tell if I have secondary infertility?

If you were able to go pregnant naturally and gave birth without event in the past just are having problem conceiving on your own for the second or third fourth dimension, you may accept secondary infertility.

However, it is also possible that there is another cause for your infertility, and doing the necessary fertility testing will assistance you make up one's mind the cause so you can motion frontward with the appropriate treatment.

All patients at RMA undergo diagnostic testing to go a complete picture of their fertility before moving onto treatment; this includes fertility bloodwork to learn more than well-nigh a patient's egg count, which can assistance make up one's mind whether or non she is experiencing secondary infertility.

What blazon of treatment is available for women with secondary infertility?

Secondary infertility is treatable, and many women diagnosed with information technology become on to take successful subsequent pregnancies.

At that place are various handling options based on the adult female'southward specific fertility contour, including Intrauterine Insemination (IUI), where sperm is inserted into a adult female's uterus at the fourth dimension of ovulation.

In Vitro Fertilization (IVF) is another pick, where sperm and egg are fertilized outside the woman'southward trunk and a resulting embryo is transferred dorsum into the woman's uterus in hopes of implantation.

No matter which treatment path yous pursue, y'all should have promise that we are here for you and you can overcome secondary infertility with only a niggling bit of help.

Is IVF more than successful in secondary fertility?

IVF is not necessarily more than successful for patients with secondary infertility, but it is ofttimes the only or virtually successful fertility handling option.

Secondary Infertility Support Groups

Struggling with infertility tin be very hard to deal with alone. Information technology is important to know that there are back up groups out in that location defended specifically to men and women dealing with infertility. Resolve: The National Infertility Association offers support groups all across the US. Use their helpful Infertility Support Group Finder to find a meeting closest to you.

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Source: https://rmanetwork.com/blog/secondary-infertility-morin/