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It is not unusual for a second pregnancy to become a matter of obsession, especially for the mother.

The differences on how to cope and whether to accept the situation may affect the couple’s relationship. When this hits crisis level, professional help from a marriage counsellor or a psychotherapist is necessary.

Being with other parents going through the same pain and loss will also help couples cope with their own feelings of sorrow.

The first step is to test the couple to determine if the woman is ovulating, her tubes are open and the man’s sperm is plentiful. Depending on the identified cause of infertility, assisted reproductive techniques are offered, ranging from ovulation induction with timed intercourse, artificial insemination, or in vitro fertilization.

The emotional upshot

Secondary infertility is actually more prevalent than primary infertility, but couples are less likely to seek treatment for this condition. Because they were able to conceive fairly easily the first time, they are often shocked by the difficulty of having a second pregnancy.