Secondary Infertility – Causes and Treatment

Secondary infertility is little understood by the general public and those suffering often have a harder time finding answers and support.  What causes secondary infertility, how is it treated, and what are the odds of success with treatment? Can pregnancy and birth complications increase your chances of being unable to conceive a second child? Our guest to talk about secondary infertility is Dr. Tanmoy Mukherjee, a board certified gynecologist and reproductive endocrinologist, Associate Director of the Mount Sinai Division of Reproductive Endocrinology, and Co-Medical Director of Reproductive Medicine Associates of New York.

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Hit the Highlights
  • What is secondary infertility?
  • Do you include the inability to carry a child resulting in recurrent miscarriages or still births as part of the secondary infertility diagnosis?
  • How common is secondary infertility?
  • Is the inability to have a child after having conceived one or two children increasing?
  • Where and how can couples facing secondary infertility find support?
  • What are the common causes of secondary infertility?
  • Can a complicated birth make you infertile?
  • Can a C section cause secondary infertility?
  • Do women who have had a prior Cesarean Section take longer to conceive another child?
  • What else can causing scarring in the uterus?
  • Can weight gain cause secondary infertility?
  • What BMI causes a problem with fertility?
  • In general, does it take longer to conceive a second child than to conceive a first child.
  • Should you use an ovulatory predictor kit or basal body temperature or cervical mucus to predict ovulation?
  • What’s the difference between Clomid and Letrozole?
  • Advantages and disadvantages of using injectable gonadotropins with an IUI or artificial insemination versus going directly to IVF?
  • What is the multiple pregnancy rate for Clomid and Letrozole?
  • What percentage of secondary infertility cases are unexplained infertility?
  • Does how rapidly you conceived your first child have any bearing on the probability of having problems getting pregnant with your second child?
  • Does a family history of early menopause or premature ovarian failure or primary ovarian insufficiency make you more likely to experience secondary infertility?
  • Is there any way to determine ahead of time if you are more likely to have secondary infertility?
  • Do you find that couples who had no problem conceiving their first child are more likely to wait longer the second time around when they find they are having trouble getting pregnant before seeking professional help from a reproductive endocrinologist?
  • What are the treatment options for secondary infertility?
  • Do couples who already have a child conceived without fertility treatment have a higher rate of success at fertility treatment if they experience secondary infertility?