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Secondary Infertility Treatment in India

Not all couples find it as easy to have children a second time as they had found it the first time. Couples often find it surprising that even though they have conceived successfully in the past naturally or through fertility treatments, it turns out to be difficult to get pregnant again. This condition is termed as secondary infertility. However, the good news is that most couples manage to solve their problem and conceive a baby with the help of timely secondary infertility treatment. Secondary infertility is the inability to become pregnant or carry a pregnancy to term after having one or more previous pregnancies without the use of contraception. The cause of this problem may emerge gradually and affect one or both partners. Since everyone's fertility varies with age and health state, it is important not to presume that a previous successful attempt guarantees the future fertility also. To get the best treatment, finding the root cause of the secondary infertility is important.

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Symptoms of Secondary Infertility

Secondary infertility does not always cause noticeable symptoms. But you can look for the following signs: 

  • Inability to conceive after 12 months of regular and unprotected intercourse (or after 6 months if the woman is 35 years or older)
  • Irregular, infrequent or absent periods
  • Changes in menstrual flow or severe menstrual cramps
  • Pelvic pain, especially during menstruation or intercourse
  • Recurrent miscarriages
  • Painful intercourse in some cases
  • Symptoms of hormonal imbalance, such as acne, excessive facial hair or unexplained weight changes
  • In men, reduced libido, erectile dysfunction or changes in sperm quality may indicate an underlying fertility issue

If you have had a successful pregnancy in past and have been trying to conceive again without success, it is best to consult a fertility specialist who can help find out the reason and suggest the best treatment plan. 

Diagnosis of Secondary Infertility

A careful evaluation is important for identifying the reason behind secondary infertility and guiding the best treatment steps. Since fertility challenges can involve either partner, both individuals should be assessed. Your doctor may suggest: 

Medical and Reproductive History

Reviewing the reports of your previous pregnancies, menstrual history, medical conditions, surgeries, medications, and lifestyle factors is the first and important step in starting a treatment plan. This discussion also helps determine which diagnostic tests are required.

Hormonal Blood Tests

Blood investigations evaluate hormone levels that can interfere with the ovulation process and fertility. These include AMH, FSH, LH, thyroid hormones, prolactin, and progesterone. These tests help detect hormonal imbalances that may be affecting conception.

Ultrasound Examination

A transvaginal ultrasound assesses the uterus and ovaries for conditions such as fibroids, ovarian cysts, polyps, or PCOS. It also helps evaluate ovarian reserve and monitor ovulation.

Hysterosalpingography (HSG)

The HSG test involves X-rays that uses contrast dye to determine if the fallopian tubes are clear and if the uterine cavity looks normal. This is an important test for determining any blockages in fallopian tubes or structural anomalies that can impact fertility. .

Semen Analysis

A semen analysis tests sperm count, sperm motility, sperm morphology and overall semen quality. As sperm health can fluctuate from time to time, this test is very important when diagnosing secondary infertility.

Causes of Secondary Infertility

There can be several causes of secondary infertility, and in many cases, multiple causes can contribute to the infertility problem. Determining the root cause of your problem will help your fertility expert advise on treatment.

Age-Related Decline in Fertility

Fertility decreases naturally as you grow older, especially after 35 years old, because there is a drop in the number and quality of eggs. Male fertility can also be reduced because of ageing and its effect on the quality of sperm.

Ovulation Disorders

Irregular or absent ovulation can make pregnancy difficult. Conditions such as PCOS, thyroid disorders, elevated prolactin levels or premature ovarian insufficiency may disrupt normal ovulation pattern and require medical treatment.

Blocked Fallopian Tubes

Any blockage or damage in fallopian tubes can prevent the egg and sperm from meeting. This may happen due to pelvic infections, previous surgeries, endometriosis or an ectopic pregnancy.

Endometriosis

This condition arises when tissue similar to the lining of the uterus develops outside the uterus. This can impact ovaries, fallopian tubes, and surrounding tissues, thus interfering with fertility by causing anatomical changes, inflammation or scarring.

Uterine Conditions (Fibroids, Polyps, Adhesions)

Various uterine disorders including uterine fibroids, endometrial polyps, intrauterine adhesions, and congenital uterine problemscan prevent implantation of an embryo or predispose one to miscarriages.

Male Factor Infertility

Male infertility factors can equally contribute to secondary infertility. Abnormalities in sperm count, motility or morphology can make pregnancy difficult even after a previous successful pregnancy. A semen analysis helps evaluate male fertility and identify the root cause.

Complications from Previous Pregnancy or Delivery

In certain cases, complications such as uterine infections, pelvic infections, caesarean scar defects or intrauterine adhesions after childbirth or surgical procedures can affect future fertility.

Treatment Options for Secondary Infertility

The right secondary infertility treatment depends on the root cause, your age, fertility history, and overall reproductive health. After a comprehensive evaluation of both partners, your fertility specialist recommends a personalised treatment plan to improve your chances of conception.

Lifestyle Changes

Healthy changes to your lifestyle can improve fertility and support treatments. Your fertility specialist may recommend maintaining an optimum body weight, eating a balanced diet, exercising regularly, reducing stress levels, abstaining from smoking and excessive alcohol consumption, and getting enough sleep to improve your reproductive wellbeing.

Ovulation Induction Medications

In case absent or irregular ovulation is preventing you from conceiving, your doctor will prescribe you medicines that will stimulate your ovaries to produce eggs. This treatment is monitored using ultrasound scanning and hormone testing to find out the optimal timing for conception or assisted reproductive techniques. 

Hormonal Therapy

Hormone-related problems that influence the process of ovulation or implantation can decrease fertility. On the basis of diagnosis, your doctor may prescribe medicines to correct thyroid disorders, high prolactin levels or other hormonal conditions, helping restore normal reproductive function.

Surgical Treatment for Uterine or Tubal Conditions

Minimally invasive surgery may be suggested in case of conditions such as uterine fibroids, polyps, intrauterine adhesions, endometriosis, or selected cases of blocked fallopian tubes. Fixing these problems can improve your chances of conception either naturally or through fertility treatments.

Intrauterine Insemination (IUI)

IUI is a reproductive technique where processed sperm is directly injected into the uterus during ovulation to increase the likelihood of fertilisation. It is best suited in cases of mild male factor infertility, ovulation disorders, cervical factors or unexplained secondary infertility.

In Vitro Fertilisation (IVF)

IVF is an advanced fertility treatment compared to IUI, which involves fertilisation of eggs with sperm in a specialised laboratory. The resulting embryo is then transferred into the uterus. It is often suggested in cases of severe tubal disease, advanced endometriosis, declining ovarian reserve, severe male infertility or when other treatments have not been successful.

Why Choose Birla Fertility & IVF for Secondary Infertility Treatment in India?

We understand that difficulty in getting pregnant for the second time can be emotionally overwhelming for many couples but with the right treatment approach and expert guidance, pregnancy can be achieved. 

Why couples trust Birla Fertility & IVF:

  • 120+ experienced fertility specialists across India
  • Advanced fertility diagnostics for both women and men
  • Personalised treatment plans based on individual fertility needs
  • Modern IVF laboratories with advanced reproductive technologies
  • Comprehensive care under one roof, from diagnosis to treatment
  • Transparent pricing and financial guidance with 0% EMI options available on IVF treatment
  • Compassionate counselling and dedicated patient support throughout the fertility journey

Step-by-Step Process of Secondary Infertility Treatment

Initial Fertility Consultation
Comprehensive Fertility Assessment
Personalised Treatment
Pregnancy Testing and Follow-up

Secondary Infertility Treatment Cost in India

The cost of secondary infertility treatment in India depends on various factors. These can be the underlying cause, treatment required, clinic reputation and location. Also, it varies from case to case. Some couples may only need medicines and ovulation monitoring, while others may benefit from advanced fertility procedures. 

An estimated cost breakdown is shown below: 

Treatment

Estimated Cost (INR)

Fertility consultation

₹800 – ₹2,500

Fertility investigations

₹5,000 – ₹20,000

Ovulation induction

₹3,000 – ₹15,000 per cycle

IUI

₹10,000 – ₹30,000 per cycle

IVF

₹1,20,000 – ₹2,50,000 per cycle

Fertility surgery (if required)

Varies based on the procedure

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