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Doctor insights on: What's The Difference Between Primary And Secondary Infertility

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What's the difference between primary and secondary infertility?

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

Dr. Khurram Rehman
1,240 Doctors shared insights

Infertility (Definition)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular ...Read more


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Secondary infertility. Does it happen often?

Secondary infertility. Does it happen often?

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

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What are some secondary infertility treatment options?

What are some secondary infertility treatment options?

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

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What is the most common reason for secondary infertility? Husband & I have both been checked, lots of tests, no answers.

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

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Secondary infertility. What are treatment options?

Secondary infertility. What are treatment options?

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

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Am struggling to get pregnant again? What causes secondary infertility?

Am struggling to get pregnant again? What causes secondary infertility?

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

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Secondary infertility treatment options are what?

Secondary infertility treatment options are what?

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

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I'm suffering from secondary infertility have a fsh of 2.4 and shbg of 75are these in range?

I'm suffering from secondary infertility have a fsh of 2.4 and shbg of 75are these in range?

Time of tests/cycle: The time your FSH and SHBG were taken in your menstrual cycle determines whether they are normal for conception or not. I don't have that information and therefore can't render an opinion. ...Read more

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Is there treatment for secondary infertility?

Is there treatment for secondary infertility?

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

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Waiting on trus & tunel result for husband (secondary infertility), before mtese. Its been 7 weeks. If azoospermic, how/what are they testing? How long?

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

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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?

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

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My husband has secondary infertility azoospermia. Sco on biopsy. Does he have better odds with tese with prior fertility?

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

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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?

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

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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

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

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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!

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

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Is there a difference between a fertile sperm and infertile sperm? I mean the shape and the viscosity

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

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Diagnosed with primary hypoglonadism @39 yrs am F with also secondary pituitary gland failure. Have I always been infertile without knowing?

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

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What are the differences between infertility and premature ovarian failure?

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

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What can you say about primary infertility?

What can you say about primary infertility?

Primary Infertility: 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

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What is the cause of secondry infertility. Why the vegina is dry and itching inside and outside of vegina.

What is the cause of secondry infertility. Why the vegina is dry and itching inside and outside of vegina.

Itching: See your doc for an eval. .. They should be able to examine you and try to figure out a reason for the itching... It may not be related to your infertility question. ...Read more

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Can a primary healthcare doctor check to see if my husband is infertile?

Infertile husband: 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

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What's best for me laparoscopy or injection to boost suspected primary infertility likely caused by endometriosis & no ovulation.

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

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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?

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?

Incorrect: In fact, infertility has nothing to do with testicular cancer. Although varicoceles can contribute to infertility not everyone with the varicocele has infertility. ...Read more

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What's the difference between primary and secondary addison's disease?

What's the difference between primary and secondary addison's disease?

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

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What is the difference between primary and secondary hypoparathyroidism?

What is the difference between primary and secondary hypoparathyroidism?

Since Birth/Aquired: Primary or Idiopathic is when no cause is found and may be inherited
Secondary Hypoparathyroidism caused by
1removal of the gland during thyroid surgery
2Autoimmunity
causing destruction of gland
3Hemachromatosis due to iron accumulation in the gland
4Magnesium Deficiency
5Di George's syndrome total absence of gland at birth ...Read more

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What's the difference between primary and secondary immune response?

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

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What is the difference between primary and secondary raynaud's syndrome?

What is the difference between primary and secondary raynaud's syndrome?

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

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Main difference between primary and secondary aml (leukemia)?

Main difference between primary and secondary aml (leukemia)?

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

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What is the difference between primary and secondary liver cancer?

What is the difference between primary and secondary liver cancer?

Where cancer started: A primary liver cancer began in the liver. The original cell that turned cancerous was from the liver. A secondary liver cancer began somewhere else and spread to the liver. ...Read more

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What is the difference between primary and secondary hypoadrenalism?

What is the difference between primary and secondary hypoadrenalism?

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

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What is the difference between primary sjögren’s versus secondary sjögren’s?

What is the difference between primary sjögren’s versus secondary sjögren’s?

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

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What's the difference between primary endolymphatic hydrops and secondary endolymphatic hydrops?

What's the difference between primary endolymphatic hydrops and secondary endolymphatic hydrops?

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

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What is the difference between a primary brain tumor and a metastatic (secondary) brain tumor?

What is the difference between a primary brain tumor and a metastatic (secondary) brain tumor?

See below: Primary brain tumors arise in the brain. Metastatic brain tumors originate in another organ--such as breast cancer or melanoma, and spread to the brain. ...Read more

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Can using to much Plan B cause infertility?

Agree w Dr. Whiting: Although using Plan B more than once will not cause infertility, it is designed only to be used an emergency form of contraception when another form of birth control has failed. ...Read more

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Is it likely for Plan B to make you infertile?

Is it likely for Plan B to make you infertile?

Plan B: Should impact conception for one episode of sexual intercourse. It will not effect fertility in general. ...Read more

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What were some of the most common causes of female infertility or being "barren" in the 1800's?

What were some of the most common causes of female infertility or being "barren" in the 1800's?

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