Women who experience delayed pregnancy and/or childbearing turn to medical approaches to monitor and address this issue. Infertility can be classified as either primary or secondary.
Primary infertility is defined as the inability to conceive despite having regular menstrual cycles and engaging in unprotected intercourse (without the use of any contraceptives) for one year after marriage.
Secondary infertility, on the other hand, occurs when a woman has previously conceived but is now experiencing difficulty conceiving again despite continuing to have unprotected intercourse. In other words, secondary infertility refers to a condition where pregnancy was achieved in the past, but the couple is now struggling to achieve pregnancy again after a period of successful reproduction.
Thus, in cases of secondary infertility, there is a history of previous pregnancies, but new issues are preventing the couple from conceiving again.
The medical approaches used to stimulate ovulation include the administration of oral medications or injections to enhance ovarian function and facilitate egg release. Optimal ovulation monitoring is performed during the menstrual cycle using ultrasound imaging to assess whether additional stimulation of the egg is required. Prior to any medical intervention, it is crucial to conduct comprehensive medical evaluations.
Essential medical tests encompass hormone assays for the female partner, ultrasound imaging, and, in some cases, hysterosalpingography (HSG) to evaluate the patency of the fallopian tubes. Additionally, a semen analysis of the male partner is required to assess sperm quality and fertility potential.