Secondary infertility is often more difficult to accept -for the couple- as well as those around them. 'When are you going to have your next one?' a wise aunt quips at the family reunion. 'Cassie has a baby brother, I want one too, Mommy,' says your preschooler and 'Honey, don't wait too long,' reasons your mother-in-law.

If the 'system' has worked once, it should work again, right? In OB/GYN lingo, the mother has a proven birth canal and so on. For many parents, the first time was a piece of cake. Something they didn't have to try hard for at all. The second or subsequent time, it is another ball game altogether.

Family dynamics

Some main reasons when it comes to secondary infertility can be that you don't have energy or time for intercourse during your most fertile period of the month because of your other children's demands.

You have to take physical factors before any decision to conceive

It may have been pass of very long years after you had your first baby and pass of your peak fertile time too. The most fertile time for the women is during their age of mid-twenties to mid-thirties. When a women touches 38, the Infertility begins to cast a greater shadow.

Significant weight gain by not shedding the pregnancy pounds can also lead to a hormonal imbalance and difficulty in conceiving. Loss of original partner with who the woman had the first child can raise a red flag for reproductive endocrinologists.

However, some of the extra testing may be needed to for the new partner. In addition, some other similar complicated factors are miscarried or abortions pregnancies, polycystic ovarian syndrome, and uterine or pelvic disorders after conceiving the first child.

Emotional factors

One of the emotional rollercoaster rides with secondary infertility is also when couples struggling with primary infertility feel that secondary infertility patients are being ungrateful. 'At least they have one child' and 'At least they have gone through the pregnancy and child birth experience once' is what they have to say. This can also be a reason why many secondary infertility cases are not talked about.

However, this should not be the case. Secondary infertility is anyway harder to accept. By making it harder to discuss can add another layer of burden and guilt on the parents. Couples are often recommended to decide on a time frame by which they will try to get pregnant or consider alternatives like surrogacy or adoption. Or they can choose the number of tries they will give a particular treatment like in vitro fertilization. Having a limit in their minds often helps in finding closure and accepting destiny. Faith also plays a part in accepting any kid of infertility.