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Dr Raelia Lew

Written by Dr Raelia Lew — Fertility Specialist & Gynaecologist

Published · 1 min read

Key takeaways

  • Secondary infertility means difficulty conceiving or carrying a pregnancy after previously giving birth.
  • Potential causes include sperm changes, tubal damage, ovulation disorders, hormonal imbalance, surgery and age-related egg quality decline.
  • Seek specialist advice after six to twelve months of trying, or sooner when the female partner is over 35.
Trouble Having Number 2: why does secondary infertility happen?

Secondary infertility is finding it really hard to become pregnant or to carry a pregnancy after previously giving birth.

Secondary infertility shares many of the same causes of primary infertility.

Possible causes of secondary infertility may be:

· An evolving sperm problem or sexual problem in men

· Fallopian tube damage from endometriosis or other causes

· Ovulation disorders

· Hormonal imbalances

· Complications related to previous pregnancy or surgery

· Increasing maternal age and egg quality concerns

Risk factors can change for you or your partner, such as lifestyle factors, having gotten older, loss or gain of weight, new anatomical concerns (like uterine fibroids or polyps), hormonal fluctuations and medications changes.

If you have been trying hard but not getting pregnant — after a 6 to 12 months it’s worth seeking a specialist opinion.

If you are a woman over 35 and especially over 38 years, timing of seeking help can be critical to your ultimate chance of having baby number two and beyond.

Secondary infertility can be unexpected and highly stressful. Busy lives can delay you getting the help you need.

Professional support is a game changer – don’t try to cope alone.


Considering Secondary Infertility?

Dr Raelia Lew and the Women's Health Melbourne team can talk through what's right for your circumstances.