Secondary Infertility Facts
It is a misconception in majority of the population that if you get pregnant once you have no problem next time.
Secondary infertility is a common problem that can be heartbreaking for many couples. Once you have had a child, you normally think that getting pregnant again should be no problem; after all, havent you proven your fertility?
Fertility is a function of age. It starts to decline at age 27, and the most pronounced decline is above age 40.Unfortunately, there’s no test that shows when fertility starts to decline.
Secondary infertility means that couple has at least one biological child but are having difficulty in conceiving for the second time. Twenty percent of women experience a condition called secondary infertility. Even for a healthy couple with no reproductive problems it can take time to conceive. However, such problems can be avoided if you are careful about your body. Read about what you can do to prevent secondary infertility.
Secondary infertility may happen at any time and the causes are almost identical to those of primary infertility. The problem can lie with the woman’s reproductive system, the man’s reproductive system, or with both partners.
Many womens dont have any problems getting pregnant for the first time. So they never believe trying for a second child would be an issue. However, even after trying for more then a year if someone is not able to conceive,a visit to the infertility specialists is must.The biggest step in coping with the problem is deciding that a person needs some help this time. A trip to the doctor may result in women undergoing number of tests. The outcome may be secondary infertility.
About 20% of couples who wish to conceive do so within a month. During each subsequent month, about 20% of the remaining couples conceive, so that there is about an 85% chance of conceiving within six months. A physician will generally initiate a medical evaluation only if a couple has not conceived after one year of trying, or, if the woman is over 35, after six months. About one in seven couples have problems conceiving. The percentage of couples experiencing secondary infertility in particular is not known because some couples do not seek medical help.
Why do I have secondary infertility?
There are many reasons why you can have secondary infertility. These reasons are often the same reasons why couples experience primary infertility. See a fertility specialist to try and help diagnose your secondary infertility but some common reasons for secondary infertility include:
* ovulation problems
* uterine fibroids
* you or your husband/partner got an infection since your last pregnancy
* you or your husband/partner gained weight
* you or your husband/partner changed your diet
* egg or embryo quality has changed
* sperm issues are now present sperm count, morphology, motility, etc
There are many reasons you can have secondary infertility. Your lifestyle can be a huge factor in your fertility so check first to see if you have made any lifestyle changes that might be affection your fertility.
There are several factors mentioned below contributing to the Secondary Infertility and which can be controlled by you.
Unavoidable factor in todays life-stress
Stress can be a major factor in trying to get pregnant. The stress hormone cortisol interferes with ovulation, leading to decreased fertility. In addition, stress can also cause elevated blood pressure and other conditions, which can create complications in a pregnancy. Research has shown that 77 percent of women who were able to reduce their levels of cortisol succeeded in restoring their ovulation abilities.
Reducing stress can be done in different ways. Generally, reducing stress hormone levels involves a change in diet and exercising. Meditation has also proved effective as a stress buster. Many doctors may also recommend taking a short vacation to rejuvenate your body.
Fertile perio 00004000 d.
The fertile period during the monthly cycle in a women decreases with the increase in the age.Finding fertile period every month becomes a priority because
the egg released the ovary remains fertile only for around 12 hours or so.Ovulation kit or ovulation stick is used to determine when a person is ovulating.
Age and the fertility.
Fertility decreases with the age It is an accepted medical fact that the chances of female not conceiving or infertility in women is higher once she is 30 years old. It is not common with all.In most cases decreased fertility does not hamper a woman’s chances of getting pregnant, especially if she has been pregnant before. However, some women do experience the problem of infertility, termed as secondary infertility. This is more common in women who have had their first child after the age of 30. Many treatments are available to overcome this stage.
Complete Medical checkup.
Couples under the age of 35 when they fail to conceive after trying for more then a year should consult a specialist and undergo a complete check up.For women over 35, the waiting period is six months.The basic test includes Pap smear test to check for abnormalities in the uterus and ovaries and a three-day FSH/estradiol blood test to measure the level of FSH or follicle-stimulating hormone,which is responsible for release of eggs from the ovary.High levels of the hormone indicate that body is working more to stimulate your ovaries.
Additional help of vitamins.
Iron and folic acid is very good to improve the fertility.Available in the form of multivitamin tablets,it is taken in addition to the regular meals.The use of this increases the chances of a successful conception and also prevents the baby inside from suffering certain birth defects.
Unlike those couples who have never had a child, those couples going through secondary infertility find it hard to get support from their network of friends and family.
The good news is that secondary infertility can be treated just like primary infertility. If you suspect you have a fertility problem, get checked out. The sooner you find out the problem, the sooner you can get back on track to having your second, third or forth child.
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Frequently Asked Questions
Is Endometriosis the same as Uterine fibroids?
Any and all information on either subject (if they are not the same thing) would be greatly appreciated. Thank you.
What causes the scaring in endometriosis?
Here’s the deal with endo: you have these little cells in your body called endometrial cells. they’re supposed to live in the wall of your uterus. Hormones in your body send signals to these little cells to fill up with blood. If you don’t get pregnant that month, hormones send signals to those cells to detach from the wall and start to move downward. Then they release that blood and your period starts. After your period is over, more hormones tell those little cells it’s time to go home. Sometimes those cells don’t listen and wind up attaching themselves to places they shouldn’t be. Lots of people get them on their ovaries, their bowel, etc. There are even documented cases of these little cells in the throat area. Talk about getting lost!
Well, those little cells, although they’re not where they’re supposed to be, still receive those signals from the hormones telling them to fill up with blood. Since they’re not where they belong, lots of times that means they’re pressing up against an organ as they fill with blood – and that hurts like crazy. Then again when they get the signal to release the blood, they do it, and THAT hurts even more. It’s sort of like you’re bleeding internally. Somehow instead of getting the signal to move around like the other cells do, they stick themselves to their new home. Idk how or why, it just happens.
The only way to get rid of it is through surgery. Most doctors remove it by burning the cells off, just because they’re in a delicate region of your body. However, this menthod isn’t quite effective because the burning doesn’t always get the entire cell. Little microscopic pieces can be left behind, and they grow back – sometimes in the very next month. If your doctor CUTS out the cells, studies have shown the cells don’t come back. However, sometimes it’s not possible to cut out all of the cells depending on where they are. It’s also not possible to see all of the endometriosis in your body – much of it is microscopic, but that doesn’t mean it isn’t there & it also doesn’t mean it isn’t painful.
Birth control regulates your periods and many times helps with the pain. The biggest benefit is lighter periods because most people with endo tend to have heavy periods. Less flow means less pain. There is a drug called Meclomen, it’s an NSAID like Aleve or Advil but it actually helps people with endo by making your periods super light – I barely had one while taking it. You just start taking the pill at the first sign of pain and continue through your period and it does wonders. It’s also not habit forming unlike a lot of the narcotics most women with endo have to take.
I’ve had endo for probably 10 years now, but it took nearly 5 years to diagnose it because many doctors don’t really believe endometriosis really exists – don’t ask me why. Since then, I’ve had surgery twice, and will continue to need regular surgeries to deal with the pain. I keep in close contact with my doctor, letting him know everything I htink might be helpful because endo can cause problems getting pregnant and I want to avoid that as much as possible. Unfortunately, other than that, the only thing doctors can offer us is birth control. Well, they could try Lupron depot, but that basically puts you in a state of menopause for a year or two, but has been shown to cause remission of endo for as long as 5 years. I’ve opted against that route, because the shots are nearly 0 and need to be taken every 3 months, plus there are chances for unwanted side effects – and I’m not so sure I want that risk either.
This is pretty much what I know about endo, although I can’t really tell you much more about fibroids other than to say they’re not the same as endo. I hope this helps!
Endometriosis, Uterine Fibroids or Chocolate cyst…?
What is the difference between them and how do you know which one you have? My readings say that they can be easily missed through scans and ultrasounds. I am having an excruciating and decapitating pain in my lower back – right side during menses. It seems to be getting worse now. What’s your opinion?
Could be an ovarian cyst. Don’t know about feeling it in the back, though. The excruciating and incapacitating pain is familiar though.
Kidney problems are usually felt in the back, though, like kidney infections or kidney stones.
If your doctor is going to do a full panel of blood tests, ask that he do a fasting blood insulin. That will help rule out polycystic ovaries. If your results are 10, or more, you are likely hyperinsulinemic.
I have been diagnosed with uterine fibroids and Endometriosis. I am only 29. and have been ttc.?
It has been 12yrs since finding out i have Endro. and only about 3yrs since finding fibroid. My husband & I have been ttc off and on for several years. We have one daughter who is 6. For almost a year now we have again been trying, with no luck. The reason it has been on and off is because of the pain. After being off the pill for a while the pain gets to be too much. So far this year i have held off for 9mths w/ no pill. Does any one know what a doctor can do to find out if you are fertile?
I would definately recommend visiting http://www.ivf.com for a ton of accurate info and materials on how to cope w/infertility, including effective treatments for the Endo/fibroids and what options exist in terms of IVF should that become necessary. Also recommend seeing http://www.centerforendo.com for info on the best treatments for Endo and other causes of pelvic pain/infertility. Good luck.
Is severe bleeding/clotting normal during your first menstrual cycle after a hysteroscopy to remove fibroids?
I had a hysteroscopy and laparoscopy 3 weeks ago to remove two uterine fibroids and endometriosis on the outside of my uterus. My first post operative menstrual cycle just started. I have the worst menstrual cramps, bleeding and clotting of my life. Is this normal after a hysteroscopy? Thanks for any help.
From my experience, I had mayomactomy ( to remove fibroids) in 2005. 3 days after the surgery I had my period and it was as heavy as it was before the surgery. I had the surgery because I had so many fibroids and heavy bleeding during the period. The situation wasn’t better after the surgery as my doctor said they could not remove all the fibroids as they were so tiny. So I had heavy bleeding after the surgery as well. If the doctors would remove all the fibroids they might not be able to keep my uterus.
I think you have tiny fibroids left inside the uterus. Go to your doctor and have a good check up.
Uterine fibroids, pain, heavy bleeding and irregular periods?
I have multiple large and small fibroids, severe endometriosis, severe adhesions (they thought I’d had chemo). I used to have very regular periods but they are now irregular and heavy with a long pms time around when I expect a period. I was getting one heavy one about every other month having to change pads every 15 minutes for one day of it. And a lighter one in between with alot of spotting. But sometimes I can have pms symptoms like I’m starting and not start for a couple weeks. (They say it’s inoperable.) Is this common? What should I be worried about? What can I do?
I had this same problem in 2005, I experienced heavy bleeding and it continued for about a week, quit with just spotting and then back to bleeding again. This was so bad it put me in a very weak state and finally decided to visit obgyn and had blood test and ultra sound done. I was so low on blood that I had to have 4 pints replaced due to so much blood loss. The ultra sound showed a fibroid tumor. I had a total abdominal hysterectomy in September 2005 and the tumor removed. The fibroid tumor was causing the main problem for me, making my periods unbearable. Now I feel fine health wise, my blood count is back up, but of course I went straight to menopause, but I’m handling it the best I can. I wish you luck, have your blood checked for anemia and an ultra sound to see where and how large the fibroids are.
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