You did it once. You’ve got a child you love more than words. So why is it this hard to get pregnant again? This is secondary infertility – and it’s more prevalent, and more isolating, than most people think. At Ekmi Fertility, we listen to mothers every week who are ashamed and guilty for this struggle. So we’re here to say for sure – as the fertility specialists who treat patients just like you every day – what you’re feeling is valid and, more importantly, there are real answers. We’ll help you find the way to your next destination whether it’s IVF surrogacy in India or some other avenue.
What Is Secondary Infertility?
Secondary infertility refers to the inability to conceive or carry a pregnancy to term following the birth of at least one child without utilising fertility assistance. The one-year rule is in effect here as well – if you have been actively trying for a year, or six months if you are over age 35, and haven’t gotten pregnant yet (and both members of the couple are under age 35), it’s time to consult a fertility doctor.
Why Does It Happen?
Many changes in the body between pregnancies. Common causes include:
- Declining egg quality or falling sperm counts with age
- Hormonal issues such as PCOS or thyroid disorders
- Uterine problems – fibroids, polyps or scar tissue from a prior vaginal delivery or C-section
- Infections or endometriosis occluding fallopian tubes
- Changing sperm motility or morphology over time in men sexual infertility
- Problems with ovulation and hormone levels due to weight changes

Sometimes there’s no single cause. That doesn’t make it less real.
What Treatment Options Are Available?
The majority of couples with secondary infertility respond favorably to treatment. Your doctor will begin with diagnostics – bloodwork, ultrasounds, semen analysis – then suggest a way forward.
IVF:
- Overcomes many biological challenges by providing fertilization the optimal settlings
- Indicated when tubes are blocked or egg quality is a concern, or if infertility is unexplained
- At Ekmi Fertility, protocols are personalized – not templatized – for better results
Surrogacy:
- Indicated when conditions of the uterus, recurrent pregnancy loss or medical contraindications render pregnancy untenable for the pregnant individual
- Ekmi Fertility is one of the top surrogacy clinics in India, who provides you full surrogacy packages in India – legal medical and emotional support all at a single place
- Indian surrogacy law ensures peace of mind with guaranteed surrogacy program in India
- Surrogacy in India is a lot more accessible than Western countries – Ekmi Fertility provides detailed breakdowns of surrogacy costs with no hidden fees
- Surrogacy laws give the due respect and protection needed to every surrogacy mother, along with support provided by experienced surrogacy doctors in India
FAQs
Q. Does that mean I cannot do IVF if I have a child already?
Absolutely. IVF for secondary infertility is extremely common. Before designing your protocol, your fertility specialist will evaluate the current status of both your ovarian reserve and uterine health.
Q. Are the IVF procedures different for secondary infertility?
Not a lot, but based on your age and your current hormone levels as compared to your first pregnancy, the doses of stimulation may be changed by your doctor.
Q. Who are eligible for surrogate mother in India?
Surrogacy is currently allowed in altruistic forms, where couples unable to carry a pregnancy due to medical conditions may use another woman. You will be reviewed through a surrogacy doctor in India.
Q. What is the cost of surrogacy packages in India at Ekmi Fertility?
Surrogacy cost differs from case to case, but Ekmi Fertility provides transparent and affordable surrogacy in India with clearly defined packages available.
