Secondary female infertility - Causes, and Treatment

Nowadays most women are facing ovulation disorder. Ovulation disorder can be one of the main reasons for secondary infertility. 40 percent of women with infertility are unable to ovulate continuously. The problem of ovulation can also be due to some reasons, such as -

• Polycystic Ovary Syndrome (PCOS).
• Primary ovarian insufficiency (POI).
• Decreased egg production, which often occurs with age.
• Thyroid or other endocrine disorders that affect hormone production.
• Some lifestyle factors like obesity, poor eating habits, consumption of alcohol and drugs, etc.

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Women may find it difficult to conceive even if there is any problem in the uterus or fallopian tubes. If there is a blockage in the fallopian tubes, then the sperm and egg cannot meet. Also, if there is tissue damage in the uterus, that can prevent implantation.

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If the first delivery was through cesarean or C-section, it may leave a scar on the uterus. This can cause swelling in the uterus, due to which implantation is affected. In such a situation, it becomes necessary to treat it to conceive.

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Infection can also be a reason for secondary infertility. Infection or any kind of sexually transmitted infection can cause pelvic inflammation. This can cause scarring and blockage in the fallopian tubes. If one has Human Papilloma Virus (HPV) infection, it can also affect the cervical mucus. In this situation, fertility can be reduced. If the infection is treated on time, then pregnancy can be done.

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Autoimmune disorders are considered to be the main cause of infertility. Autoimmune disorders attack the healthy tissue of the body. This may also include reproductive tissue. Autoimmune disorders such as Hashimoto's, lupus, and rheumatoid arthritis can cause inflammation in the uterus and placenta.

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The age of 20 to 30 years is considered best for pregnancy. After the age of 30, fertility in women starts decreasing. On the other hand, after the age of 40, women are not able to conceive even after all the efforts. In such a situation, planning should be done at the right age to conceive. This can save the woman from infertility.

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In case of secondary infertility, the doctor may recommend the following types of medicines -

• If the woman is facing secondary infertility, then the doctor may recommend taking hormone-normalizing medicines.
• Apart from this, fertility-enhancing drugs can be prescribed to treat secondary infertility.
• PCOS is the main cause of infertility. In such a situation, doctors can increase fertility by treating this problem.

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Some people facing secondary infertility may also require surgery. When a woman is unable to conceive due to problems like uterine fibroids, uterine scar, or endometriosis, doctors may recommend surgery.

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Advanced reproductive technology may help treat infertility. This includes IUI and IVF. Under this, sperm are collected in IUI and then inserted into the uterus at the time of ovulation. Wherein, in IVF the eggs and sperm of the woman are collected. The egg and sperm are then fertilized together, from which an embryo develops.

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