Even though india now has more people than China, the rising prevalence of infertility is causing alarm. According to data, India's total infertility rate increased consistently from 22.4% in 1992–1993 to 30.7% in 2015–2016. The growing prevalence of secondary infertility, a disease in which couples experience trouble conceiving again after a successful first pregnancy, adds to this worry. According to studies, secondary infertility in india increased significantly by 5.9% to 28.6% in 2015–16.

Understanding Secondary Infertility
The inability to conceive after a prior pregnancy or termination is known as secondary infertility. In contrast to primary infertility, which occurs when conception has never taken place, secondary infertility can result from a number of circumstances, such as age-related declines in fertility, problems with reproductive health, and lifestyle choices.
 
Important Elements That Affect Secondary Infertility
 
Lifestyle Decisions and Postponed Pregnancy
 
Due to modern lives, many couples now put their personal objectives, professions, and financial security before of starting a family. First pregnancies can go smoothly, but postponing a second pregnancy frequently results in problems.
 
Women over 35 have far lower odds of becoming pregnant since their egg quality and quantity fall. Similarly, smoking, drinking, and having long-term health issues cause men over 40 to have lower sperm counts and motility.
 
Impact of health Conditions and Stress
Secondary infertility is largely caused by hormonal abnormalities, including endometriosis and Polycystic Ovarian Syndrome (PCOS). Fertility is further decreased by other illnesses such as metabolic syndromes, diabetes, hypertension, and thyroid issues. Reproductive health is also impacted by tubal obstructions, varicocele (enlarged scrotal veins), and long-term drug usage.
 
Stress from hectic lives might also make conception more difficult.
 
Infections and Medical History
Tubal factor infertility, in which clogged fallopian tubes hinder fertilization, can be brought on by infections from previous abortions, vaginal births, or local infections. The issue may potentially be exacerbated by endometritis, an infection of the uterine lining.
 
Who Is Most Impacted?
 
The quality of sperm and eggs decreases with age, making conception more challenging. The declining reproductive health of many couples who put off motherhood presents difficulties. However, stress and lifestyle choices can cause secondary infertility in even younger couples.
 
Why is there less discussion about secondary infertility?
 
Due to the widespread belief that couples who become pregnant once won't experience problems again, secondary infertility is still largely unknown. Because primary infertility is the main focus of society, secondary infertility receives little attention or debate.
 
Is it Possible to Manage or Prevent Secondary Infertility?
 
The secret to prevention is awareness. After a year of consistent sexual activity, couples who are still unable to conceive should consult a doctor.
 
The reason determines the treatment strategy:
 
Induced ovulation treatment for ovulation problems
Blockages in the fallopian tubes can be diagnosed and treated using hysteroscopy or laparoscopy.
Endometriosis or fibroids: medical or surgical management
Sperm analysis, varicocele assessment, and required procedures are variables associated with male infertility.
Avoiding needless abortions is also advised since they raise the possibility of subsequent infertility. Fertility and pregnancy success can be increased by leading a healthy lifestyle, eating a balanced diet, exercising frequently, and using alcohol in moderation.
 
Couples dealing with secondary infertility might benefit from knowledge and early intervention as infertility rates rise. The likelihood of conception can be considerably increased by addressing lifestyle variables, getting prompt medical advice, and taking a proactive approach to reproductive health.
 
 

 

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