Doctor insights on:
What's The Difference Between Primary And Secondary Infertility
Previous Pregnancy: Secondary infertility is an inability to become pregnant or carry a pregnancy to term in a woman who has given birth to a child without the assistance of reproductive medicine in the past. Primary infertility is infertility in a couple who has never been able to conceive, despite at least one year of unprotected intercourse. ...Read more
Possibly more often: Many experts believe it's more common to suffer from secondary infertility than primary infertility. This is due to such factors as an older age (in the woman) and exposure to reproductive toxins over time. Other possible issues include progressive endometriosis, infectious diseases, and the ravages a varicocele can induce as time passes. ...Read more
The same: The treatment options for secondary infertility are the same as they are for primary infertility. Traditional evaluation needs to be completely performed in looking for both male and female factors as if they had not been previously pregnant. Then the treatments are directed towards what is found to be abnormal. ...Read more
What is the most common reason for secondary infertility? Husband & I have both been checked, lots of tests, no answers.
Secondary?: I assume, therefore, that you two have been pregnant before. There are many potential causes and you need to discuss your problems w/a reproductive endocrinologist. It is far to involved a question to be answered in 400 characters. ...Read more
Depends on the cause: First we do tests to find the cause (s) - diminished ovarian reserve (low egg supply), hormonal issues, blocked tubes, polyps or fibroids inside the uterus, or sperm problems. Treatment depends on the results but may be fertility tablets like Clomid (clomiphene) or Letrozole with intrauterine inseminations (iui), injectable medicines and iui, in vitro fertilization (ivf), egg donation, or embryo donation. ...Read more
Fertility workup: See a gynecologist if you seem to have difficulty getting pregnant. Three main areas of testing will be suggested, after reviewing your situation carefully. Male factor is checked with sperm analysis. Ovulation is checked with hormonal testing and "tubal factors" like blockage and endometriosis are checked with imaging and minor procedures, like hysterosalpingogram, ultrasound and laparoscopy. ...Read more
Same as Primary: Secondary infertility is caused by the "usual suspects" and the treatments are the same. We find that the causes of infertility are essentially the same as if the couple never had a pregnancy. There are some causes like prior sterilization that are different an require different treatment. I hope this helps answer your question, best wishes. ...Read more
Yes, alwasy: Secondary infertility can always be treated with assisted reproductive technology. See an infertility specialist, or rei doctor for help. Women can take pills, do iui, injections to stimulate ovaries, ivf, donor egg, surrogate, lots of methods to have a baby these days. Talk to an expert for advice! ...Read more
Waiting on trus & tunel result for husband (secondary infertility), before mtese. Its been 7 weeks. If azoospermic, how/what are they testing? How long?
Various: Trus is transrectal ultrasound looking for seminal vesicle dilation that would indicate an obstruction causing azo. The prostate can be evaluated as well. Tunel assay is dna fragmentation of sperm. I would be careful of this test. No corroborative studies aside from the developers of the test.? What to do with results - no validated studies.? Use in azo. Takes time for results. ...Read more
Me&fiance have a child together and have been trying to conceive for 2 year's 9 month's. No luck... What do you think? Secondary infertility?
Yes. Get checked out: Over 2 years is too long trying, either for a 1st child or in your case one more, especially at 21. This is a good time to see your obstetrician or a fertility specialist to help you to get pregnant again. We check you for ovulation issues like pcos, other hormonal problems, low egg supply, blocked tubes (did you have a c section?), problems inside your uterus or sperm problems for your fiance. ...Read more
My husband has secondary infertility azoospermia. Sco on biopsy. Does he have better odds with tese with prior fertility?
Perhaps: It is unusual but not unheard of to get sperm from men with sertoli cell only syndrome. The fact that he has fathered pregnancies suggests the possibility that there may be small areas of sperm production. A urologist who specializes in male fertility an has expertise in microsurgical tese may have some chance for success. ...Read more
Dr. Khurram rehman said I have secondary infertility, so why won't my doctor help me, IV been declined to see a fertility specialist! What do I do now?
Infertility: Dr. Rehman is likely right, secondary infertility is a clinical diagnosis. You need to ask your doctor why he won't help, others cannot tell you this. Often the problem is not the doctor, but the insurance who may have rules or restrictions on coverage. Ask your doctor: if it's an insurance issue, he might help you work it out. If the doctor is the problem, get a new one. ...Read more
Can low progesterone 0.2 (day 20), normal LH FSH e3 cause secondary infertility? My cycle range from 32-38 days. Prolactin was 33 on bromocreptine now 6
Luteal phase?: If is very important to check your Progesterone level in the middle of your luteal phase. If you were having a 38 day cycle. You were probably ovulating on day 24, and you would have wanted your Progesterone level checked on day 31 or so. So that level on day 20 may be useless. Having said that, a low Progesterone level in the mid-luteal phase is usually a sign that you did not really ovulate. ...Read more
43wf. Diagnosed with secondary infertility for 10yrs. Had full pregnancy at 24. Several miscarriages after. Had an episode of bright red blood upon urination (once)that came a week before my period and no more bleeding. Still have 1 wk before period!
Need more info!: Please address the following questions and then resubmit your question. Was the blood in the toilet bowl or on the toilet paper? Do you know the cause of your repeated miscarriages? Have you had any fertility treatments, any at all? Are your periods regular? Did you do a home pregnancy test? That's a lot of info, so u need to be concise. Best wishes. Dr. Anne ...Read more
Is there a difference between a fertile sperm and infertile sperm? I mean the shape and the viscosity
Here are some...: The significance of sperm shape and semen viscosity has evolved & changed over the decades especially over the past 10-15 yrs. Currently, normal sperm shape appears in only about 4%, and semen is expected to liquefy in 30 minutes; if not, high viscosity is considered but its significance remains unknown. For infertility, make sure both parties need to be simultaneously evaluated and counseled. ...Read more
Diagnosed with primary hypoglonadism @39 yrs am F with also secondary pituitary gland failure. Have I always been infertile without knowing?
Maybe not...: If a woman knows she had a normal puberty, developed breasts, got regular periods, etc., then she would not have had hypogonadism at that time, and would have expected herself to be fertile like her friends and classmates. If she never got her pubertal changes (would have seen a doctor for it during high school), she would have already been diagnosed. An endocrinologist can explain it further. ...Read more
I was diagnosed@39 with primary hypoglonadism and secondary pituitary gland failure. After several hormone tests I am only viable for IVF.@36 I was told I have premature ovarian failure. With the primary hypoglonadism have I always been infertile? I have nev
Need more informatio:
It seems like you have a lot of issues at play. Maybe you can set up a consult to discuss this further
Dr M ...Read more
They're different: Infertility is the inability to achieve a pregnancy within a year or so of having unprotected intercourse. There are many different causes of infertility. Premature ovarian failure (pof) is the temporary or permanent cessation of ovarian function before age 40. Pof can be one of the many causes of infertility. ...Read more
There are many things that could be said about the above statement. You and your partner must go to your doctor and discuss what is going on.
One important issue is that you do not say anything about your age! Please let the doctor know the age of both of you! ...Read more
What is the cause of secondry infertility. Why the vegina is dry and itching inside and outside of vegina.
Absolutely! Please go to the doctor with your husband and all details will be evaluated and discussed with your husband and you.
If you can, please let me know what developed. ...Read more
What's best for me laparoscopy or injection to boost suspected primary infertility likely caused by endometriosis & no ovulation.
Ur OBY or fertility: Sprcialist would be a better resource person to answer ur question. Perhaps doing both maybe required to maximize ur potential of conceiving. God bless u in ur endeavor! Https://www. Asrm. Org/awards/detail. Aspx? Id=10250. http://m.voices. Yahoo. Com/10-herbs-promote-fertility-increase-chances-2491984.html. ...Read more
I have this 3rd grade varicocele, I'm not going to have kids but I know infertility is a primary cause of testicle cancer. Am I at risk?
1ry starts in gland: Primary addison's originates in the adrenal gland for diverse reasons, autoimmune (self destruction by auto antibodies) or after an infection (e.G tb), invasion by cancer or hemorrhage into the gland, while in the secondary type the gland itself is healthy but the pituitary gland (the maestro of endocrine glands) isn't working so other endocrine glands won't function probably. ...Read more
Primary or Idiopathic is when no cause is found and may be inherited
Secondary Hypoparathyroidism caused by
1removal of the gland during thyroid surgery
causing destruction of gland
3Hemachromatosis due to iron accumulation in the gland
5Di George's syndrome total absence of gland at birth ...Read more
Adaptive immunity: In the adaptive immune response, the initial response is significantly slower than the response on re-exposure. Initial exposure leads to expansion of cells that make igm, whereas on re-exposure the cells have been changed by the body to make igg, which is made quicker, and is more efficient. ...Read more
Depends on the cause: When a patient has Raynaud's phenomenon (vasospasm leading to poor circulation in the fingers and toes), his doctors will look for the common causes such as autoimmune disorders, drug side effects, hormonal imbalances, etc... If no medical condition is found that is causing the symptoms, then the disorder is called "primary". If a condition is found, then the disorder is "secondary". ...Read more
Known prior damage: Secondary AML refers to the condition where the blood factory (bone marrow) has been damaged by either 1) an antecedent marrow disease such as myelodysplasia or a myeloproliferative disorder 2)prior exposure to agents such as solvents or radiation that are known to damage the blood factory and occasionally lead to the evolution of leukemia. ...Read more
Adrenal vs Pituitary: Primary adrenal insufficiency (ai) is when the part of the adrenal glands which make cortisol is damaged so that cortisol is not produced in sufficient amount. Acth from the pituitary gland is high. Skin bronzing may be seen. Secondary ai occurs when the pituitary gland isn't able to produce enough acth to signal the adrenals to make cortisol. Therefore, both acth and cortisol levels are low. ...Read more
Circumstance: Secondary sjogren's syndrome is caused by something else that the body reacts to causing the disease. Primary sjogren's just occurs; most likely from a genetic predisposition. The symptoms and treatments are the same. ...Read more
Primary vs Secondary: Primary endolymphatic hydrops would be a problem intrinsic to the inner ear itself. While secondary would be caused by something outside of (affecting) the inner ear. The symptoms maybe the same. An example of secondary would be if medications were causing the symptoms. ...Read more
MD says I have primary lupus &secondary sjogrens. My chart says lupus-sjogrens overlap syndrome. Is there a difference between listing them separately?
No: Your treatment will be the same. Kudos for taking charge and reading the documentation carefully! ...Read more
Fertility in 19th C: I don't believe there's much real data to answer, but case reports in lancet as far back as civil war support that causes were probably similar to now: ovulatory, tubal, endometriosis. There's a fascinating case report of a surgeon cannulating proximal fallopian tube with a whalebone in 1898! delayed child-bearing of course was less common. Medical historians please correct me if needed! ...Read more
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