Dr. Lucky Sekhon

I have patients who come back to me and I'm like, you just delivered your baby, what are you doing here?

And they're like,

i'm ready let's do this i want to have lots of kids and i'm like your uterus needs time to heal and you know taking a year or a year and a half between pregnancy or delivery and the next pregnancy is actually something we advise especially if you had a c-section but even if you had a vaginal delivery it takes time for your uterus to regain its strength for your body to feel

back to a place where it's healthy to have another baby and there's actual risks associated with not waiting long enough like a higher risk of preterm labor growth restriction or growth issues and so you just want to be really careful it's not that it's not possible to have you know another pregnancy six months later but i usually don't advise i usually say wait at least a year okay and so on this second can you explain secondary infertility

Yes.

So things can change over time, right?

It's not always going to be static.

The number one thing that I see as a cause of secondary infertility is you started at 32, 33, and now you're over 35 for baby number two or baby number three.

And so just naturally, it's a little bit harder.

but also everything we talked about holds true like sperm quality can change over time you know as we all get older we might have be more prone to certain chronic medical conditions we might be a little bit more overweight and maybe our habits have changed life is stressful maybe we're not coping as well or sleeping as well all of these things can holistically impact our fertility but also the more and more ovulations a woman has in her lifetime the more opportunity

for fibroids to grow because that's hormonally driven, the more opportunity for endometriosis to worsen and spread.

So these are all factors that explain why you see an increased prevalence of infertility.

It's not just age.

It's all of those other things as well.

Yeah, so the reason why I named my book The Lucky Egg, a lot of people think it's just like good marketing because my name is crazy lucky, but it's actually to illustrate and to admit that, well, I like to think of everything as being scientific and have an explanation for everything.

There are so many things we don't have an explanation for.

There are some people that have that history and then they try for baby number two and it happens on the second round, right?

Because it's like a lottery.

There is an element of luck and there's so much lack of control that we have to admit.

There are people that have had failed IVF cycle after IVF cycle and then randomly on a break between cycles, they were able to get pregnant.