Whats secondary infertility and what factors cause it?Whats the cure?
Whats secondary infertility and what factors cause it?Whats the cure?
For a percentage of adult couples desiring children, infertility is a problem they not only don鈥檛 know they have but, in fact, are sure they don鈥檛 have. Their first children are conceived with ease and they have no reason to believe that making that child a big sister or big brother will be any more difficult鈥ntil they actually try to do so. Much has been written on whether secondary infertility is more or less psychologically devastating and while the debate will rage on, all agree that for anyone who wants children (or more children) the emotional pain is real and intense.
鈥淲hy me (us)?鈥?
Secondary infertility is generally defined as the inability of a couple to conceive after a year of unprotected and appropriately timed intercourse when one or both partners have previously conceived children.
Both male and female factors may be involved and in about one-quarter of the cases the cause is multi-factorial.
The most prevalent cause of secondary infertility may be age. Much has been written about aging and women鈥檚 fertility. Women are born with all of the oocytes they will ever have and female fertility peaks in the mid-twenties to mid-thirties. Menopause, of course, occurs when there are no more oocytes. The decrease in fertility by 35 years of age is marked. By age 40 the spontaneous pregnancy rate is significantly lowered and at age 45 the chances of natural conception with unprotected and well timed intercourse are, at best, approximately 6% per cycle. Older oocytes (eggs) have been around longer and have been exposed to more environmental factors which may contribute to a decrease in egg quality. Single gene mutations may be responsible for spontaneous interruption of early pregnancies therefore it is not surprising that along with the decrease in natural pregnancy rate comes an age related increase in spontaneous abortion (miscarriage) rate. When one also considers that many spontaneous abortions occur before a woman even knows that she is pregnant it is easy to see why female age is a significant factor in the etiology of secondary infertility.
Less has been written about male age and fertility. Men, after all, normally go on producing new sperm throughout their adult life. Newer studies, however, have shown a decrease in both the quality and quantity of sperm produced by older men. Thus paternal age is no longer an insignificant factor to consider.
One factor that occasionally contributes to the creation of a secondarily infertile couple is the introduction of a 鈥渘ew partner鈥? A female or male who has previously successfully conceived may become secondarily infertile with a new partner.
Successful conception relies upon the production of healthy sperm and oocytes that meet and fuse in a supportive environment. Interruption of any step along this complex pathway may result in infertility.
In women, tubal blockage and abdominal adhesions are responsible about one third of the time for the diagnosis of infertility, ovulatory issues (anovulation, premature ovarian failure, ovulation irregularities) are responsible about 25% of the time though this, as previously mentioned, increases significantly with age and uterine factors (including endometriosis, a condition where uterine tissues are located outside of the uterus) are thought to be a contributing factor in approximately 30% of. Once again, it is important to remember that there may be multiple etiologies in the same couple and that many of these etiologies may develop after the first successful conception.
In men, acquired defects in spermatogenesis, blockage in the semen delivery system and impotence are the primary contributing factors to infertility. Some of the causes of these problems are relatively reversible and easy to correct others less so.
Proper weight and good nutrition are important. Obesity interferes with ovulation as does excessively low body fat percentages. Tobacco use leads to decreased fertility via several different mechanisms. The use of alcohol and recreational drugs can not only decrease the quality of gametes (oocytes and sperm) but also impair judgement leading one into situations where other fertility challenging issues may arise.
Multiple sexual partners increase the risk for sexually transmitted infections (STI鈥檚). STI鈥檚 may cause decreases in fertility due to inflammation and scarring in the reproductive tract (pelvic inflammatory disease in women, epidydimitis in men). Some STI鈥檚 have a relatively silent presentation. All suspicious signs or symptoms (pelvic pain, abnormal discharge, pain or burning on urination) should be promptly evaluated by the appropriate health care professional.
Stress has definitely been shown to increase infertility rates; conversely faith, hope, prayer and support groups have all been shown to increase fertility rates.
Secondary Infertility can be defined as an inability to conceive a second or subsequent child after conceiving one or more children. Once you have experienced the miracle of childbirth, and to be unable to allow it again, can be the most painful situation imaginable. Combined with the overwhelming frustration and guilt this can induce can leave you feeling isolated, and full of stress.
The causes of secondary infertility are the same as those for primary infertility, which appear after giving birth. Any hormonal imbalances, changes in the menstrual cycle, bleeding pattern changes, and stress can indicate secondary infertility.
Like primary infertility, treatment for secondary infertility is achieved when the body is returned to a state of balance that it once had. Sometimes the birth of the earlier child or children can throw the body into a state of depletion which can't necessarily be diagnosed in a laboratory. Our retreat program and ongoing treatment plan will help remove the obstructions which can prevent further pregnancies from occurring, and allow you to experience the miracle of birth once again. Source(s): http://www.thefertilesoul.com/treatment/...
Secondary infertility means that the ovaries and uterus seem ok and should work normally, but their function is being impaired by another problem somewhere else in the body.
Hormone imbalances often cause secondary infertility, and can be triggered by such common things as thyroid problems, eating disorders, and medications. It can also be caused by rarer conditions such as a problem with the pituitary gland.
Figuring out the underlying problem can be challenging sometimes, so a doctor would need to do a good history and physical as well as a series of blood tests. Correcting the infertility requires fixing the underlying disorder first.
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