What Is Secondary Infertility?
(continued)
Other possibilities that may cause secondary infertility in men or women:
Sexually Transmitted Diseases (STDs): Twelve million cases of
newly diagnosed STDs occur in the USA annually Some STDs can be asymptomatic,
such as chlamydia, one of the most likely culprits in infectious infertility.
They can cause pelvic inflammatory disease (PID) in women and epididymitis in
men. Complications are more common in women, including subsequent scarring,
miscarriage, adhesions, blocked tubes, and tubal pregnancy. All of these factors
can contribute to infertility. Sometimes infertility can lead to a diagnosis of an STD that was previously
undiagnosed, even one as serious as HIV/AIDS.
Environmental Factors: Factors
such as cigarette smoking, excessive alcohol consumption, drug abuse (including
marijuana), or exposure to other environmental hazards from pesticides or xrays
may contribute to secondary infertility in men and women.
Frequency of Intercourse: Having intercourse once
during your fertile period-or missing your fertile period altogether-can
decrease your chances of conceiving. Unless you are using a technique to identify
your most fertile days, to optimize fertility, you should have intercourse every
other day starting a few days before ovulation.
Stress: This can affect ovulation. . .as well as a couple's relationship.
Especially after having one child, a couple's stress burden increases enormously.
Factor in the additional pressures
(internal and external) of "trying" to become pregnant, and this can become a
fertility factor in itself.
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 Unless you are using a technique to identify
your most fertile days, to optimize fertility, you should have intercourse every
other day starting a few days before ovulation. 
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