Sunday , 18 August 2019

Monday, 6 March 2017 :  She is a happily married woman and conceived Maya within the first six months of marriage. Her pregnancy was well and Maya was delivered via a Caesarean section.

Her problem?

“Well, one isn’t enough and we have been trying for a second child for the past one-and-a-half years. I just don’t understand why I am not getting pregnant. I got pregnant with Maya easily. Surely we are not suffering from infertility. But why it is not happening again?”

She is just one out of many women who find it difficult to conceive a second child, or who has what is medically known as secondary subfertility.

Ovarian reserve (egg numbers)

Ovarian reserve means the number of eggs that you are left with, which correlates with your chances of getting pregnant.

The lower the ovarian reserve, the lower your chances of getting pregnant.

Besides age, there are other factors that can decrease your ovarian reserve.

Ovulation problems

Ovulation is crucial for natural conception. When ovulation is irregular, it increases your difficulty to get pregnant naturally simply because you cannot time your “fertile” window accurately.

But why has ovulation become irregular now, and not previously when you conceived your first child?

Your weight has an effect on your ovulation. If you have put on weight after your first child, it can affect your ovulation and monthly period cycles.

Tubal factor

Women have a pair of Fallopian tubes attached to the womb. These tubes pick up the ovulated egg, and fertilisation of the egg by the sperm usually happens in the tube.

If the tubes are damaged or blocked, the chances of getting pregnant naturally is very much reduced, or near impossible in the case of bilateral blocked tubes.

Fallopian tubes are at risk of being damaged or blocked when a woman undergoes any kind of pelvic surgery, including a Caesarean section, ovarian cyst removal or removal of a uterine fibroid.

Sperm quality

To have a successful pregnancy, you need a healthy egg and a healthy sperm. Even though male fertility declines more slowly than the female, sperm quality is still an important factor in secondary subfertility.

Environmental factors such as cigarette smoke, unhealthy diet and pollutants are known to reduce the quality of sperm. Thus it is important for male partners to get themselves checked together with their wives.


Smoking, for both women and men, has adverse effects on fertility. Long term smoking can lead to poorer egg quality.

Likewise, smoking also reduces man’s sperm quality, even though the quantity is normal.

So, you could have easily conceived your first child, but continuous smoking can make it harder to conceive your second child.

Change in health status

The older you get, the higher the chances that you may have developed health conditions such as high blood pressure and diabetes. When these conditions are not well controlled, it reduces your fertility. It is important to have regular health check-ups and initiate early intervention if needed.

The above are some common causes of secondary subfertility. If you have one of them, take the necessary steps today to get yourself checked.

Source : Internet

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