I have gotten pregnant before, why am I having trouble now?

There are many factors to consider before answering this common question regarding secondary infertility. Although limited statistics are available for the number of couples with secondary infertility, the most common reason for either primary or secondary infertility is the trend for women to delay childbearing. An evaluation of your menstrual cycle pattern is a good place to start. Whether or not there have been any significant changes in your health or your partner’s health since your previous pregnancy should also be carefully evaluated. After your work-up, an explanation is frequently found and we can begin to plan the next step.