This blog will look into:
1. Causes of Secondary Infertility
2. Treatment for Secondary Infertility
3. Best Fertility Clinics in Nairobi
4. Best Fertility Clinics in Cape Town
5. Best Fertility Clinics in Kampala
6. Counselling Centres for Couples
You may desire a larger family or at least more than one child. Perhaps you're already a parent to boys and would like a daughter. Or maybe you have daughters and want a son.
Secondary infertility is a common experience, and many couples successfully overcome it. With the right support, information, and fertility treatment interventions.
In this blog, we will explore signs, causes of secondary infertility, and the different treatments options available.
We will also highlight, the costs associated with secondary infertility treatment options available in fertility clinics within Nairobi, Cape Town and Kampala.
Our goal is to provide you with information and support to access the best fertility specialists whose expertise lies in secondary infertility.
What is Infertility
Infertility occurs when a male or female is unable to conceive a child when their partner can conceive a child.
Types of Infertility
Primary infertility refers to partners (couples) who have been trying to conceive a child for at least 12 months (1 year) without using any birth control techniques or an individual who has never achieved pregnancy unintentionally.
Why am I not getting pregnant the second time? You may be experiencing secondary infertility that could involve sexual reproductive health problems with either you or your partner.
Secondary infertility refers to being unable to conceive or carry a pregnancy full term after having given birth before to at least one child.
Signs and Common Causes of Secondary Infertility
The major sign of secondary infertility is being unable to conceive (get pregnant) after having one or more children.
Secondary infertility could affect either one or both partners trying to conceive. Trying to conceive is termed as having regular unprotected sex.
Secondary infertility can be caused by either one factor or a combination factors. The most common causes of secondary infertility in both men and women include:
• Complications from a previous pregnancy
• Cigarette smoking, vaping and alcohol use
• Prescribed medication
• Existing chronic medical conditions
• Complications of a prior surgery
• Age – secondary fertility issues are common among individuals over 40 years
• Extreme increase/decrease in body weight (unbalanced Body Mass Index - BMI)
Causes of Secondary Infertility in Women
Women aged above the age 35 years and above should see a fertility specialist after 6 months of trying to conceive.
Women aged 35 and below should visit a fertility specialist after 1 year (12 months) of trying to conceive with no success. Here is a list of causes of secondary infertility in women:
• Problems with quality and/or quality of the woman’s eggs (ova)
• Scars or blockages in the fallopian tubes or uterus
• Reproductive conditions such as:
i) Polycystic ovary syndrome (PCOS)
ii) Endometriosis
Causes of Secondary Infertility in Men
• Reduced testosterone levels
• Enlargement or removal of the prostate
• Testicular varicocele
Read our article on Male Infertility Doctors in Nairobi | Causes | Diagnosis | Treatment
Treatment Options for Secondary Infertility
The treatment options available for secondary infertility are more or less the same as those available for primary infertility.
A fertility specialist may decide to use a less invasive approach may be used to treat secondary infertility due to previous success in achieving pregnancy.
• Surgical procedures to repair fallopian tube related complications
• Surgery to repair testicular varicocele and vasectomy reversal
• Surgical procedures to treat uterine related complications such as fibroids
• Medication mainly to induce ovulation for individuals who are not ovulating frequently
• Assisted reproductive technologies such as In vitro fertilisation (IVF) and Intrauterine Insemination (IUI)
Read our article on Top 6 Gynaecologists for Fibroids Treatment in Kenya
Best Fertility Clinics in Nairobi Fertility Treatment Cost
1. Myra IVF Centre, Kenya
Myra IVF Centre treats secondary infertility in both men and women. The facility has a successful track record of assisted reproductive technologies (ARTs) enabled by an ultra-modern fertility lab.
Myra IVF Centre offers cost effective and comprehensive fertility treatment packages.
Myra IVF Clinic Treatment Procedures & Cost | |
| Procedure | Cost in KES |
| Consultation | KES 3,000 |
| Online Video Consultation | KES 5,000 |
| IVF Treatment | KES 535,000 |
| Intra-Uterine Insemination (IUI) | KES 55,000 |
| Intra-Cytoplasmic Sperm Injection (ICSI) | KES 540,000 |
| Male Fertility Treatment (PESA, TESA) | KES 120,000 |
| Assisted Laser Hatching | KES 50,000 |
| Embryo Freezing and Storage | KES 10,000 per month 100,000 per year |
2. Harley Street Fertility Centre, Kenya
Harley Street Fertility Centre, fertility specialists have years of experience diagnosing and treating infertility.
Their aim is to offer world-class fertility treatment options from IVF, IUI, and male fertility treatment.
Harley Street Fertility Centre Treatment Procedures & Cost | |
| Procedure | Cost in KES |
| Consultation | KES 7,500 |
| Online Video Consultation | KES 7,500 |
| In Vitro fertilisation (IVF) | KES 440,000 |
| In Vitro fertilisation (IVF) with Egg Donor | KES 700,000 |
| Frozen Embryo Replacement | KES 170,000 |
| Frozen Embryo Storage | KES 50,000 (1 year) |
| IUI with Sperm Sorting | KES 85,000 |
| Oocyte Collection | KES 275,000 |
| Ultrasound Scan (TVS) | KES 7,500 |
| HyCoSy Scan | KES 20,000 |
| Ultrasound Scan (Abdominal) | KES 7,500 |
| Semen Analysis | KES 4,500 |
| Endometrial Scratching (Biopsy) | KES 12,000 |
Best Fertility Clinics in Cape Town Fertility Treatment Cost
1. HART Fertility Clinic, South Africa
Hart fertility clinic in Cape Town, South Africa, is rated one of the best fertility clinics in Africa.
The facility has a state-of-the-art IVF and andrology laboratory specialising in assisted reproductive technology (ART) as a treatment option for couples experiencing secondary infertility.
HART Fertility Clinic Treatment Procedures & Cost | |
| Procedure | Cost in ZAR |
| In Person Consultation | ZAR 2,500 |
| Online Video Consultation | ZAR 1,750 |
| Intra-Uterine Insemination (IUI) | ZAR 11,200 |
| Embryo Freezing | ZAR 65,000 |
| IVF with Intracytoplasmic Sperm Injection (ICSI) | ZAR 72,000 |
| Frozen Embryo Transplant (FET) | ZAR 27,000 |
| Oocyte Freeze | ZAR 53,000 |
| Testis Biopsy (TESE) | ZAR 37,000 |
Best Fertility Clinics in Kampala Fertility Treatment Cost
1. Roswell Women and Children’s Hospital, Uganda
Roswell Women and Children’s Hospital is a premier medical centre focusing on women’s reproductive health.
The facility has a team of gynaecologists and fertility experts that deliver exceptional fertility treatment options, such as In-vitro Fertilization (IVF) for women with secondary infertility.
Roswell Women and Children’s Hospital Treatment Procedures & Cost | |
| Procedure | Cost in UGX |
| In Person Consultation | UGX 70,000 |
| In-vitro Fertilisation (IVF) | UGX 18,000,000 |
| IVF with Intracytoplasmic Sperm Injection (ICSI) | UGX 23,000,000 |
| IVF with Donor | UGX 25,000,000 |
| Intra-Uterine Insemination (IUI) | UGX 3,500,000 |
| Semen Analysis | UGX 250,000 |
| Hysterosalpingography (HSG) | UGX 250,000 |
| TESE/PESA | UGX 2,000,000 |
| Eggs, Sperms and Embryo Freezing | UGX 1,800,000 (paid annually) |
Emotional Impact of Secondary Infertility on Individuals and Couples
Most people have an ideal image of the kind of family they want to have. Sometimes, when the possibility of this not happening is realised it may lead to individuals being hurt.
Partners and individuals experiencing secondary infertility may need emotional support through support groups and professional counselling services to help them cope.
Counselling Centres for Couples with Fertility Problems in Kenya
Glogg Mind Care Centres
Glogg Mind Care Centres, Nairobi, provides professional counselling services to individuals seeking mental health support.
The online facility has a team of highly experienced psychologists who offer couples counselling to partners who may be experiencing situations such as secondary infertility.
Couples can access virtual counselling at a cost of KES 4,000. Glogg Mind Care Centres provides a safe and serene environment for couples to receive the care they need to improve their lifestyle.
Tulivu Psychological Counselling and Wellness Services
Tulivu Psychological Counselling and Wellness Services provide thorough and personalised mental health and wellness consulting in a secure and private environment.
You can access family counselling services, such as adoption counselling, at KES 5,000 in addition to couples and family therapy at KES 6,000.
The facility provides individual therapy and couple’s therapy struggling with fertility. The facility has experienced psychotherapists who offer exceptional counselling services.
FAQs
1. Why am I not getting pregnant the second time?
Secondary infertility could be the cause of this. Causes of secondary infertility in women include ageing, ovulation problems, poor nutrition, untreated reproductive health issues, and unbalanced BMI.
Consult with a female fertility doctor for proper diagnosis and treatment options.
2. Why is my wife not getting pregnant with another child?
Either you or your wife are experiencing secondary infertility. Causes of secondary infertility in men include ageing, low testosterone levels, unbalanced BMI, and low sperm count.
Consult with a male fertility specialist such as a urologist or andrologist for a comprehensive reproductive health review and treatment options.
