World IVF Day: Revisiting the Challenge of Secondary Infertility
It’s often assumed that if something was easy the first time, it will be the same the second time. However, fertility doesn’t always follow this logic. Many couples face unexpected difficulties in conceiving again, even after a smooth first pregnancy. Secondary infertility is a pressing issue, particularly in urban India. On World Fertility Day, let’s delve into the concerns surrounding secondary infertility and the need for greater awareness.
The Reality of Secondary Infertility
Dr. Sunita Tandulwadkar, an expert in obstetrics and gynecology, highlights the common occurrence of secondary infertility in urban areas. Couples often question why conceiving again is not as easy as the first time. Secondary infertility refers to the inability to have another biological child after a successful first pregnancy. This issue is on the rise, yet it often goes unnoticed or is downplayed by society.
As women age, fertility declines, making conception more challenging. Factors like delayed marriage and lifestyle choices contribute to this difficulty.
Understanding Premature Ovarian Ageing
Dr. Tandulwadkar explains that premature ovarian ageing can impact fertility in young Indian women. Stress, unhealthy habits, pollution, and underlying health issues can accelerate this process. Inflammation in the ovaries affects egg quality and quantity, leading to reduced fertility potential over time.
Signs of Secondary Infertility
Changes in mood, weight, or energy can indicate secondary infertility. Prompt medical tests can help diagnose fertility issues early.
Factors Contributing to Secondary Infertility
Delayed pregnancy planning, unnoticed health changes, male fertility factors, and lack of awareness all play roles in secondary infertility. Couples should be proactive in addressing these factors.
The Role of NAD⁺ in Fertility
NAD⁺ offers promise in enhancing egg health and fertility. It aids in slowing down egg ageing and improving reproductive outcomes. Supplements like NMN or NR can help replenish declining NAD levels and support fertility.
Protecting Fertility After the First Pregnancy
Dr. Tandulwadkar outlines ten tips to support fertility after the first pregnancy, including considering egg freezing and monitoring thyroid and blood sugar levels. It’s crucial to seek medical advice for any fertility concerns.
Note to readers: This article provides information and should not replace professional medical guidance. Consult your doctor for any medical queries.



