Conceived easily before, but now struggling to have another baby? This can feel confusing and unexpected.

Secondary infertility means difficulty becoming pregnant or carrying a pregnancy to term after previously having a baby. A previous successful pregnancy does not guarantee that conceiving again will be easy.

Possible contributing factors include:

• Age-related changes in fertility
• Irregular ovulation or hormonal conditions
• Changes in sperm count or movement
• Blocked or damaged fallopian tubes
• Endometriosis, fibroids or other uterine conditions
• Complications from a previous pregnancy or surgery

Both partners should be considered during a fertility evaluation.

When should you seek help?
• Under 35: after 12 months of trying
• Age 35 or older: after 6 months
• Seek advice sooner if periods are irregular or absent, or you have a known fertility concern.