This is an automatically translated article.
According to the medical definition, secondary infertility is those cases that have been pregnant at least once, want to continue to have children but cannot, called secondary infertility. What causes secondary infertility?
1. What is secondary infertility?
Infertility is a condition in which a husband and wife have regular sex for more than 1 year, without using any contraceptive method, without seeing conception. There are two types of infertility as primary infertility and secondary infertility. Secondary infertility is the case when you have been pregnant at least once (these pregnancies can be miscarried or give birth) and now want to continue to have children and are unable to conceive.
Secondary infertility is often caused by the wife's part. However, at present, there are also many cases of secondary infertility that are caused by the husband.
2. Causes of Secondary Infertility
2.1. For the wife, the most common cause of secondary infertility in the wife is an infection of the genitals after a previous miscarriage or childbirth. Specifically:
Pelvic inflammatory disease: Pelvic inflammatory disease caused by bacteria such as Chlamydia, gonorrhea... caused. Polycystic Ovarian Disease: A phenomenon in which the ovaries have many small cysts, when having polycystic ovary syndrome, there will be a lack of menstruation (only one period every few months) or ovulation disorder and this is the cause of infertility. secondary birth. Genital infections that block both fallopian tubes: If you have an infection of the genital tract, bacterial damage to the fallopian tubes will narrow the lumen and this tube may become completely blocked. At that time, the sperm's movement is blocked, so even if the ovum is released, it cannot be fertilized. If the fallopian tube is not completely blocked, small sperm can pass through the narrowing and can fertilize an ovum. But when the fertilized ovum becomes an embryo and moves to the uterus, it will be blocked because the large embryo cannot pass through the narrow place, causing an ectopic pregnancy. On the other hand, the fallopian tube keeps expanding to a certain extent, the pregnancy in this tube burst, causing an ectopic pregnancy. This condition can cause a pregnant woman to die from severe blood loss if not treated promptly. Inflammation in the uterus: When the uterus is infected, the lining lining the inside of the uterus is damaged, which is not favorable for the embryo to implant there after being moved in. The lining of the uterus is more damaged, making the uterine layer more or less no longer covered by the lining, so the two sides of the uterus stick together and then the embryo cannot implant in the uterus like that anymore. . 2.2. According to statistics, now the rate of men with secondary infertility is increasing. The main cause is sperm abnormalities such as disorders in spermatogenesis, genital and genital infections. Men working in an environment with a lot of chemicals, radiation, and radiation are the potential causes of physiological decline: weak sperm or no sperm, causing many risks of dysfunction. genital movement in men.
Bất thường về tinh trùng là nguyên nhân chủ yếu gây vô sinh thứ phát ở nam giới
3. Treatment of secondary infertility
Should see both husband and wife and treat secondary infertility according to the doctor's instructions for the best results.
The doctor will order an examination and perform tests such as blood test, urine test, gynecological examination, hysteroscopy - fallopian tube in women or semen analysis in men, male genital examination to Find out the cause of infertility in men and women. After knowing the real cause of secondary infertility, the doctor will have a reasonable treatment, be it medical treatment or surgical intervention.
In addition, the doctor may prescribe some methods of assisted delivery such as intrauterine insemination or in vitro fertilization. In particular, the method of sperm injection into the uterus is prioritized for implementation with many advantages such as saving time, cost and quite high efficiency. Currently, treatment of secondary infertility by intrauterine insemination technique has been performed at many obstetric centers and brings happiness to infertile - infertile couples.
Therefore, couples with secondary infertility should not be too worried but need to go to the hospital for more advice from doctors on how to treat for optimal effectiveness.
4. Secondary infertility prevention
Phụ nữ nên đi khám phụ khoa 6 tháng một lần để tránh viêm, nhiễm khuẩn làm dính vòi tử cung
In order to minimize the current secondary infertility, couples, in addition to considering the age of the mother to get pregnant, should not prolong the interval between two births, the ideal time Ideally, 3 to 5 years is most reasonable and best before age 35. In case of wanting to get pregnant, if after a year without using any method of contraception without becoming pregnant, both husband and wife should go to specialized medical facilities for an early checkup.
Especially, for women, it is recommended to visit a gynecologist every 6 months to avoid inflammation and bacterial infections that stick to the fallopian tubes. If you intend to abort an unwanted pregnancy, you must choose a safe medical facility because there are many cases of secondary infertility due to too rough intervention, improper technique or infection due to lack of instructions for use. Use antibiotics correctly.
In addition to pathological causes, general health status and nutrition also affect the fertility of some people. If men and women eat a lot of foods containing a lot of harmful substances, especially tobacco, alcohol, drugs, chemical exposure, polluted environment, etc., it will affect the fertility of both men and women. female. Age also affects fertility, and it's more difficult for women after the age of 35 to get pregnant. Therefore, you need to maintain good health in both husband and wife and limit exposure to harmful substances to limit secondary infertility.
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