I already have a child, so why can’t I fall pregnant again?

It is common for couples who have previously conceived to face challenges when trying to conceive again—a condition known as secondary infertility. 

There are several possible reasons why pregnancy might be difficult after having a child:

1. Age: Fertility naturally declines with age, especially after 35 in women, due to reduced egg quality and quantity.
2. Changes in Health or Lifestyle: Weight fluctuations, smoking, alcohol use, stress, and changes in overall health can affect fertility.
3. Medical Conditions: New or undiagnosed issues like ovulation disorders, uterine abnormalities, fallopian tube damage, endometriosis, or male factor infertility can develop over time.
4. Previous Pregnancy or Delivery Complications: Sometimes, complications or surgical procedures related to prior pregnancy or delivery can impact fertility.
5. Male Partner Factors: Changes in sperm quality or other male fertility factors can also contribute.
6. Unexplained Causes: Sometimes no clear reason is found, which can be frustrating but doesn’t mean conception isn’t possible.

If pregnancy is not achieved after 6-12 months of trying, it is important to consult a fertility specialist for a thorough evaluation and personalized treatment plan.