SECONDARY INFERTILITY: CAUSES, DIAGNOSIS AND MANAGEMENT
DOI:
https://doi.org/10.37547/Keywords:
Secondary infertility, reproductive health, ovulatory disorders, male infertility, assisted reproductive technologies, diagnosis, treatment, psychological impact.Abstract
Secondary infertility refers to the condition in which a couple, after previously achieving a natural conception and live birth, faces difficulties in conceiving again or carrying a pregnancy to term. It represents a significant global reproductive health concern, accounting for nearly half of infertility cases worldwide according to the World Health Organization (WHO). Causes of secondary infertility include ovulatory disorders, tubal blockages, uterine abnormalities, male infertility, lifestyle factors, and advancing maternal age. Proper diagnosis involves a multidisciplinary approach with laboratory investigations, imaging, and clinical examinations. Treatment strategies range from medical and surgical management to the use of assisted reproductive technologies (ART). Alongside medical treatment, secondary infertility has psychological and social implications that require counseling and emotional support.
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References
1. World Health Organization. (2023). Infertility definitions and terminology. Geneva: WHO.
2. Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical Biochemistry, 62, 2–10.
3. Agarwal, A., et al. (2021). Male infertility. The Lancet, 397(10271), 319–333.
4. Inhorn, M. C., & Patrizio, P. (2015). Infertility around the globe: New thinking on gender and reproductive technologies. Human Reproduction Update, 21(4), 411–426.
5. ESHRE Guideline Group on Female Infertility. (2022). Management of female infertility. Human Reproduction Open, 2022(3), hoac021.
6. Practice Committee of the American Society for Reproductive Medicine. (2020). Diagnostic evaluation of the infertile female: A committee opinion. Fertility and Sterility, 113(6), 1153–1160.
7. Zegers-Hochschild, F., et al. (2009). Revised glossary on ART terminology. Human Reproduction, 24(11), 2683–2687.
8. Boivin, J., Bunting, L., Collins, J. A., & Nygren, K. G. (2007). International estimates of infertility prevalence and treatment-seeking. Human Reproduction, 22(6), 1506–1512.
9. Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, regional, and global trends in infertility. PLoS Medicine, 9(12), e1001356.
10. Ombelet, W. (2011). Global access to infertility care in developing countries. Facts, Views & Vision in ObGyn, 3(4), 257–266
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