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Secondary infertility due to tubal obstruction is easily treated

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NIMISHA DANDIA 4/9/2013
KOLKATA

An increase in the number of cases of secondary infertility has been reported from Kolkata.

 Around 8% of women in Kolkata are now believed to be suffering from secondary infertility or inability to conceive a second time. Secondary infertility is defined as the inability to conceive, or to carry a pregnancy following the birth of one or more children.

Dr Usha Agarwal, Gynaecologist, Narayana Hrudayalaya Hospital, Jaipur, told DTMT, “Generally doctors do not advice the abortion of first child as it can cause problems to conceive for the second time, thus causing secondary infertility.

”Dr Agarwal explained that “Secondary infertility is caused by advanced age, thyroid problem, tuberculosis, abortions and obesity problems.”

The other causes include endometriosis, tubal block, pelvic inflammatory disease (PID), fibroids, uterine adhesions due to previous surgeries, exposure to certain medications, chronic medical disorders like diabetes mellitus or hypertension. 

Treatment of secondary infertility can be done by identifying the cause behind tubal damage. Tubal damage is easy to treat by a process of artificial reproductive technology (ART) which follows procedures like intrauterine insemination.

Sometimes women suffer from severe damage, and in these cases the technique of in vitro fertilisation (IVF) is used. IVF, is a process by which an egg is fertilised by sperm outside the body, so tubal blockage can be rendered irrelevant.

 New techniques in this process have simplified the treatment.

Innovative drug administrative methods are being used, for example, using hormone pens and gels. These devises have made self-administration now possible. Pure form of drugs is also available through recombinant technology.

All this holds out hope for women suffering from secondary infertility, which is a condition that can be easily overcome.

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