Difficult to Have a Second Child? Recognize Secondary Infertility and its Treatment

Therapy and treatment of secondary infertility continue to follow the flow of treatment for infertility in general, which includes:

– complete analysis of the couple’s medical history

– identification of risks related to fertility (frequency of sexual intercourse, exposure to cigarette smoke, pollution, alcohol, caffeine, and lifestyle)

– partner physical examination

– evaluation of ovulation

– Transvaginal ultrasound, and hysterosalpingography (HSG) in women

– sperm analysis in men.

While the evaluation of ovulation can be assessed from the history of menstruation and measurement of blood progesterone levels or urine luteinizing hormone (LH).

“HSG is an effective test to assess the condition of the uterine cavity and the presence or absence of blockages in the fallopian tubes. In cases of suspected endometriosis, the presence of adhesions or other problems in the fallopian tubes can be considered for laparoscopy first, before the pregnancy program begins,” he said.

Sperm analysis is something that must be done by men to determine the next treatment option. Generally, sperm analysis is valid for three months associated with spermatogenesis which occurs every 90 days. The results of sperm analysis include volume, sperm concentration, movement, and normal sperm shape.

From these results, it can be seen the total number of moving sperm to determine the feasibility of sperm to fertilize an egg naturally.

“The choice of therapy will be determined after the obstetrics and gynecologist consultant fertility, endocrinologist, and reproduction know about the couple’s fertility problems so that the opportunities for each option can be identified, whether natural programs (planned intercourse), intrauterine insemination, or IVF (IVF). “said Dr. Upik again.

Upik added, lifestyle changes, increasing age, history of disease, or surgery in the uterine area can affect fertility for you and your partner.

“Decent planning and preparation can help increase the chances of a successful pregnancy,” he concluded.

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