Trying for another baby doesn’t always come as easily as you expect. It can be especially frustrating when you conceived a honeymoon baby. Much of the same exact reasons why couples can’t conceive in the first place could be why you could be having a tough time now. You shouldn’t delay seeking help to figure out the problem because it is possible that there is a simple reason for your difficulty conceiving and baby #2 is just an ovulation away!

Your eggs could be the issue: You were born with all the eggs that you will ever have and you lose eggs over time. Even if you’re in your 30s or early 40s, you could have an egg issue such that fertility treatment could benefit you. By the age of 35, the success for pregnancy at the one year mark falls significantly. By the age of 35, fertility takes a drastic plunge. You should see your ObGyn or local fertility specialist for a blood test that can assess your egg quality. I recommend a simple blood test drawn in the beginning of the menstrual cycle measuring FSH hormone.

Don’t forget about the sperm! Men who have fathered children can still have male fertility issues. It definitely takes 2 to get pregnant and we sometimes forget that sperm quality can decline over time. A semen analysis is a quick and easy way to figure out if there is a sperm related issue. Knowing this could help you decide whether intrauterine insemination is a logical next treatment step for you.

Ill-Timed Intercourse: Children can disrupt a couple’s ability to have well-timed, stress free intercourse. Buy a simple to use ovulation predictor kit so that you can track your ovulation to give yourself the best chance of conceiving.

Irregular Cycles: A normal cycle lasts anywhere from 26-35 days. If a woman has an irregular cycle, it can be difficult to pinpoint ovulation. If a woman is experiencing irregular cycles, a doctor may be able to help regulate a cycle using hormone intervention.

Other Factors: There are a variety of other factors that can impair a woman’s fertility the second or more times around. A C-section may cause scar tissue that makes it harder for eggs to implant in the uterine lining. Another common issue is endometriosis. Undiagnosed Polycystic Ovarian Syndrome (PCOS) can keep a woman from ovulating.

So if you’re over 35 trying for baby #2 don’t hesitate going to your doc sooner than later for a consultation to discuss your fertile potential. You can never start investigating too soon.

Dr. Aimee Eyvazzadeh, is a native of the Bay Area. She is a graduate of UCLA School of Medicine. After completing her residency in Obstetrics & Gynecology at Beth Israel Deaconess Medical Center and Harvard Medical School, she completed a fellowship in Reproductive Endocrinology & Infertility at University of Michigan. She also completed a Masters in Public Health in Health Management and Policy at University of Michigan.  Dr. Aimee is board certified by the American Board of Obstetrics and Gynecology and continues to contribute to research in the field of reproductive endocrinology and infertility.  You can learn more on her website: http://draimee.org/.