Diagnosis and Evaluation
There are many causes that can lead to an inability to conceive the second (or third!) time around, but perhaps the most important is the effect of time on ovarian age.
Other problems which may evolve since a first pregnancy include endocrine disorders, worsening of pelvic pathology such as endometriosis or fibroids, a change in male factor, and other lifestyle changes, such as weight. For these reasons, the diagnostic approach to secondary infertility is very similar to that for primary infertility.
Treatment of Secondary Infertility
The treatment for secondary infertility is determined by what is uncovered with fertility evaluation and testing.