Struggling to have a second child ?

A study carried out by Aster DM Healthcare mentioned that one in five couples in the UAE face fertility issues – a higher figure than in other parts of the world. Statistics also show that in Dubai alone the incidence of infertile women seeking treatment per year could nearly double from 5,975 cases in 2015 to 9,139 cases by 2030. Both primary and secondary infertility are very real and very serious disorders affecting population of  UAE.

Primary fertility refers to the inability of a couple to conceive a child naturally and it affects both men and women equally.

Secondary infertility, on the other hand, refers to a couple’s inability to conceive a baby, even though they’ve had at least one child in the past. Couples who experience this condition may confront a range of physical and emotional frustrations, despite the fact that they’ve been able to successfully reproduce in the past.

The same factors responsible for primary fertility problems can also cause secondary infertility. These includes:

  • Advanced reproductive age: A woman’s age is one of the most common reasons for secondary infertility. Although a woman may have had no problem getting pregnant a few years ago, those interim years can change things. As a woman ages, her ovarian reserve will diminish which means that the quality and quantity of her eggs will decrease while the chance of miscarrying may increase.


  • Structural complications: Other important factors relate to the structures in the pelvis which include the fallopian tubes. Pelvic adhesions – which may be caused by endometriosis or prior abdominal surgeries – may make it difficult for the egg to be picked up by the fallopian tube. Without a connection that functions normally, pregnancy cannot happen.  In addition, if there were complications that developed during a woman’s prior delivery resulting in a uterine infection, she may have developed Asherman’s syndrome (intrauterine adhesions) or adhesions that develop around the fallopian tube.


  • Sperm quality and quantity: Just as a woman’s fertility can change with time, so can a man’s. Changes in sperm quality and quantity may occur due to changes in a man’s health or new medications. A semen analysis is one of the basic aspects of the initial infertility evaluation.


  • Weight gain: Weight can have a huge impact on the ability to conceive.  Excessive weight gain can contribute to ovulatory dysfunction. With an increase in weight, insulin resistance can increase as well, which leads to an elevated production of testosterone from the ovaries, which can further prevent normal ovulation.   In men, excessive weight can also negatively affect sperm production by increasing estrogen levels.


  • Smoking: Cigarette smoking in both men and women can not only impair their ability to conceive but also prevent women from carrying out and completing normal pregnancies.

Fertility treatments are constantly improving: pregnancy rates for infertile couples using Assisted Reproductive Technologies (ART) are currently higher than the average monthly fertility rates. Even if you already have a child, if you suspect secondary infertility, seek help from a fertility specialist as early as possible. Early evaluation is critical since, as time passes, certain treatment options may be more difficult to pursue.

If you and your spouse are facing this condition, it’s important to attain the support you need to make the best decisions for you and your family. Every woman struggling with questions about her fertility can benefit from a consultation with a specialist. At Aster IVF and Women Clinic our specialists are highly trained and experienced in providing medical solutions to couples who suffer from infertility issues.