what is infertility

What Is Infertility?

A Patient-Friendly Guide to Causes & Types of Infertility, and NHS Treatment

Infertility is generally defined as the inability to get pregnant after a prolonged period of regular, unprotected intercourse​.

In practical terms, doctors often diagnose infertility when a couple has not conceived after 12 months of trying (and sometimes sooner if the woman is over age 35). It’s a common issue – around 1 in 7 couples in the UK have difficulty conceiving.

Globally, the World Health Organization estimates about 1 in 6 people will experience infertility in their lifetime​. Infertility can cause significant emotional stress, but it is a medical condition of the reproductive system and help is available.

If you have not conceived after a year of trying (or after 6 months if you’re older than ~35 or have known issues), it’s a good idea to see your GP for an evaluation​. They can check for common problems and discuss fertility treatments that might assist you.

Primary vs. Secondary Infertility

Doctors classify infertility based on a person’s pregnancy history. There are two main categories​:

Primary infertility:

difficulty conceiving when you’ve never had a child before. This means someone who has never achieved a pregnancy in the past is struggling to get pregnant.

Secondary infertility:

difficulty conceiving after you’ve already had one or more pregnancies in the past. In other words, you have had a baby (or babies) before, but are now facing challenges getting pregnant again​nhs.uk.

Both primary and secondary infertility can be equally frustrating and emotionally challenging. Secondary infertility often comes as a surprise to those who conceived previously, and it’s important to know that experiencing trouble the second time around is not uncommon. In all cases, a healthcare provider can help investigate possible causes and next steps.

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