Many couples assume that once they’ve had one child, having another should be easy. But for some, the journey to parenthood the second time around is filled with unexpected hurdles. This condition is called secondary infertility, and it’s more common than you might think.

At Sanjivani Hospital, we understand the emotional and physical toll this can take. With expert doctors, advanced diagnostics, and compassionate care, we’re here to help you understand the causes—and find solutions.

What Is Secondary Infertility?

Secondary infertility is the inability to conceive or carry a pregnancy to term after previously giving birth, despite trying for 12 months (or 6 months if the woman is over 35). It can feel confusing and frustrating, especially when the first pregnancy seemed so natural.

It’s important to know: you are not alone, and it’s not your fault.

Common Causes of Secondary Infertility

While the causes of secondary infertility are often similar to those of primary infertility, certain age-related and lifestyle factors may be more prominent in couples trying for a second child.

1. Age and Egg Quality

As women age, especially after 35, egg quantity and quality decline. Even if the first child was conceived easily in your 20s, fertility naturally decreases with time.

2. Male Factor Issues

Men, too, can experience fertility changes over time due to reduced sperm count, motility, or morphology. Weight gain, stress, or untreated conditions like diabetes can affect sperm health.

3. Complications from Previous Pregnancy

If you experienced uterine scarring, infection, or a difficult delivery, it might affect your ability to conceive again. Conditions like Asherman’s syndrome (intrauterine adhesions) are sometimes seen after surgeries like a C-section or D&C.

4. Hormonal Imbalances

Conditions like PCOS, thyroid disorders, or high prolactin levels can disrupt ovulation and fertility, even if they weren’t present earlier.

5. Lifestyle Changes

Weight gain, poor sleep, alcohol use, smoking, or high stress levels can all reduce fertility in both men and women over time.

6. Structural Changes

Blocked fallopian tubes, fibroids, or endometriosis can develop or worsen with age, making it harder to conceive.

When Should You Seek Help?

If you’ve been trying to get pregnant for over a year (or 6 months if over 35) with no success, it’s time to consult a fertility expert. Early evaluation can improve your chances of success and reduce emotional strain.

At Sanjivani Hospital, we start with a comprehensive assessment for both partners—because fertility is a shared journey.

Diagnosis: Understanding the Root Cause

Your fertility specialist at Sanjivani Hospital may recommend the following:

• Ovulation tracking
• Hormonal blood tests
• Pelvic ultrasound
• Hysterosalpingography (HSG) to check the fallopian tubes
• Semen analysis for your partner

Once we identify the cause, we can customise a treatment plan tailored to your body, lifestyle, and future goals.

Emotional Impact of Secondary Infertility

Couples struggling with secondary infertility often feel guilt, isolation, and confusion. You may also face pressure from family and friends who assume having another baby should be easy.

At Sanjivani Hospital, we don’t just treat the physical aspect—we offer emotional counselling and support groups to help you through this sensitive time.

Frequently Asked Questions (FAQs)

Can I still conceive naturally with secondary infertility?

Yes, many couples conceive naturally after minor treatments or lifestyle changes. Early evaluation improves your chances.

Is IVF the only option?

Not always. Many cases are resolved with ovulation induction or IUI. IVF is recommended when simpler treatments don’t work.

Does my age affect my chances the second time around?

Yes. Female fertility starts to decline significantly after 35, and this plays a major role in secondary infertility.

Is male fertility also affected over time?

Yes. Age, lifestyle, and medical conditions can affect sperm quality. That’s why both partners should be evaluated.

Struggling to Conceive Again? We’re Here to Help.

At Sanjivani Hospital, we bring together cutting-edge fertility treatments, compassionate care, and a patient-first approach to help you build the family you’ve been dreaming of.

Consult our fertility expert today and take the first step towards hope, healing, and a happy future.

Book your appointment with Sanjivani Hospital now.

Your journey to parenthood isn’t over—and we’re here to walk it with you.