Previous Pregnancies And Their Effect On Fertility
Previous pregnancy is usually a good indication to be able to become pregnant again but sometimes it may not be the case and couples may in fact experience something referred to as secondary infertility.
Secondary infertility is diagnosis referring to those who have problems conceiving after already giving birth without use of any fertility treatments but cannot conceive again or experience miscarriage and they are left wondering what has gone wrong.
What are the possible causes of secondary infertility?
- Weight gain – weight has quite a dramatic effect on ovarian function. Some women end up gaining quite a bit of weight with their first child. This increased weight not only hampers proper functioning of ovaries but also increases insulin resistance leading to intensified production of testosterone; this whole phenomenon can prevent normal ovulation and thus leading to fertility issues.
- Advanced maternal age – Another leading cause of secondary infertility is woman’s age. It is extremely important to understand that women are born with all the eggs that they can ever have and this reserve keeps depleting with each monthly cycle. Also the quality and quantity of eggs also diminishes which leads to increased risk of miscarriage.
- Quality and quantity of sperm – the way woman’s fertility gets affected by aging, so is the case for men. Changes can occur in sperm quality and quantity due to changes in health, lifestyle, or intake of medications. Cigarette smoking and presence of secondhand smoke can also significantly hamper male and female fertility.
- Unexplained secondary infertility – sometimes fertility problems can remain unexplained as well and expert doctors can suggest treatments to aid conception.
What are the treatment options available for secondary infertility?
- Medications – a variety of medications such as Clomid orally or injectable gonadotropins can be prescribed to help increase the number of eggs available for fertilization.
- IUI – Intrauterine insemination might be suggested to increase the chances of conception.
- IVF – In-vitro fertilization might be recommended if rest of the options do not work. Possibility of donor eggs are considered if ovarian reserve is diminished and woman’s own eggs are not conducive for conception.
What are the chances of conception after a miscarriage?
- It can be emotionally very difficult coping with a miscarriage and trying again to get pregnant again but almost 85% of couples go on to have normal healthy pregnancies after a miscarriage. Though there is no right gap to plan another pregnancy, it should be planned once the couple is physically and emotionally ready and feeling positive about conception.
What are the chances of conception after termination?
- Termination or abortion by choice, if done under expert medical supervision, does not really affect fertility. Having multiple abortions can affect the cervix making it weak and thus cervix can dilate prematurely. Ideally planning a pregnancy within three months of abortion is not recommended by experts in order to allow the uterus and cervix to heal and become competent enough to support an embryo.