While India has surpassed China to become the world’s most populous country, you cannot deny the fact that the overall infertility rate in India has increased. The overall infertility rate has increased rapidly over the years, increased from 22.4% in 1992-93 to 25.3% in 2005-06, and further climbing in 2015-16 has increased to 30.7%.

While the country is struggling with this problem, another issue is close to the house – diagnosis of secondary infertility. This issue especially arises when a couple struggles to conceive for the second time after a successful first pregnancy. As surprisingly, secondary infertility in India is increasing, its prevalence is reaching 28.6% in 2015-16-5.9% increase.

What is secondary infertility?

Dr. Manjusha Goel, Lead Consultant, Optitude and Gynecology Department, CK Birla Hospital, Delhi, explain the situation, where a woman is unable to conceive despite a previous pregnancy or miscarriage.

Unlike primary infertility, where a couple have never been able to conceive, this is when it is difficult to achieve pregnancy after successful conception. There are various factors – a decline in age -related fertility, issues of reproductive health, or lifestyle factor – which can lead to this problem.

Factors contributing to the problem

One of the primary causes of its rise is definitely Delayed pregnancy After Lifestyle habitsAs we develop, our priorities are changing and career, financial stability, or personal goals have taken predictors. It is not that it is a problem, but for this reason, a lot of couples want to delay their conception, hardly it can be able to access what can happen. Therefore, even when conception is easy for the first time, the second becomes a challenge.

Dr. Somya KN, advisor, obstetrician and gynecologist, Glayngles BGS Hospital, Cangri, Bangalore, says, “A specific age group is more prone to secondary infertility. Fertility possibilities in women above 35 years of age decrease due to low quality and egg volume. Similarly, in men over 40 years, lifestyle habits such as smoking, alcohol consumption, use of illegal drugs, and chronic medical conditions contribute to infertility. ,

If there is a second pregnancy after this time period, the conception is more likely to fail.

In addition, stress, due to our busy life program, also plays a role, as well as hormonal imbalance Like Valuable (PCOS) or endometriosis Also play a part. ,Comorbidities Such as high blood pressure, diabetes, thyroid disorders, metabolic syndrome, weight fluctuations, use of chronic drugs (whether medical or illegal), tubal obstruction, sperm mobility or sperm count decreases, and varicosale further secondary infertility Contributes to, “she adds.

An additional factor may be one Previous transitionDr. Manjula Anagani, clinical director, robotic gynecologist and HOD, Care Vatsalya, Women and Children’s Institutes, Care Hospitals, Banjara Hills, Hyderabad explain how, “If previous abortion, vaginal distribution, or pre -transition due to any local infection Was. , This tubal factor can give rise to infertility, where fallopian tubes are blocked this can be a reason. Another position, endometritis, where the endometrium gets infected, may also be a factor. ,

Who is the most affected?

As the biological clock tick, the quality and volume of the eggs declines, causing conception and difficult. It is for both men and women, because as you need healthy eggs for a healthy baby, the quality of sperm also matters, and it starts deteriorating after a certain time.

“As more couples produce children later in life, they may experience both the quality and quantity of egg over time. Additionally, this age group is more likely to have lifestyle -related health concerns or underlying medical conditions that can affect fertility, ”Dr. Goel says.

However, Dr. Mandvi Rai, Senior A fertility and IVF experts, maternity fertility and IVF, Noida, say, “says”Even small couples can struggle With this issue due to stress. It becomes important to be aware and detecting secondary infertility. ,

Why secondary infertility is less known

Dr. A reproductive expert in Aswati Nair, Nova IVF fertility, Rajouri Garden, Delhi, says, “Secondary infertility is low because many people believe that if a couple has imagined earlier, they again again of breeding issues Will not face but it is a misconception.

Looking at another reason, Dr. Goel says, “The focus of society is more on primary infertility, which leads to lack of awareness and discussion around secondary infertility. Therefore, the open is never discussed in the open and no one knows about it. ,

Can secondary infertility be prevented or managed?

Dr. Anagani says that awareness is the first step towards preventing secondary infertility.

Just because you had earlier pregnancy, whether inspired to miscarriage or delivery, it does not mean that you will definitely conceive next time. If a normal sex life is not getting pregnant despite trying for at least one year during having a normal sex life, they should go to see a doctor for evaluation.

“The solutions depend on the cause. If there is an ovulation issue, we inspire ovulation. If the problem is related to fallopian tubes, we can do a hysteroscopy or laparoscopy to diagnose and treat it. If there is a mucous fibroid, it can be removed. Endometriosis, if present, needs to be treated accordingly. Since the treatment is caused, if semen analysis shows a problem, we examine the male factor, seek varicocyes or mobility problems, and address them accordingly, ”she says.

Dr. Goel revealed that unnecessary abortion can also give rise to secondary infertility, so that it can also be avoided. “Avoiding unnecessary abortion and intrauterine processes can lead to infertility. As much as possible, be clear from these procedures. ,

And of course, there are other basic rules that need to be followed, such as cleaning, exercising and limiting alcohol consumption, which to extend the possibility of conception and carry a child full time.