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Dr Nandita Palshetkar has been honoured with the Sarvottam Naari Samman Award 2026 and the Lifetime Achievement Award at the ISAR Conference.
Dr Nandita Palshetkar has been honoured with the Sarvottam Naari Samman Award 2026 and the Lifetime Achievement Award at the ISAR Conference.
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If you already have a child and are struggling to conceive again, you are not alone. In India, secondary infertility - the inability to conceive after a previous successful pregnancy - now affects nearly 29% of couples, with urban metros like Mumbai seeing a sharp rise in such cases.
For many couples, this comes as a complete shock. They successfully had a baby once, so why can't they now? At Bloom IVF, Dr. Nandita P. Palshetkar and her team specialise in helping couples experiencing secondary infertility find the answers - and the path forward - with advanced IVF technologies and compassionate care.
Book a Free Consultation for Secondary Infertility
Secondary infertility is defined as difficulty conceiving for at least one year (for women under 35) after having had one or more children already. For women over 35, the diagnosis may be made after 6 months of trying without success.
It is often called the "silent struggle" because couples facing it frequently feel dismissed - by family, friends, and even doctors - with comments like "You already have a child, be grateful." But for couples longing to grow their family, secondary infertility is just as painful and emotionally draining as primary infertility.
Mumbai's fast-paced lifestyle, delayed second pregnancies, career pressures, and increased maternal age are contributing to a rise in secondary infertility cases. Here are the most common causes:
As men age, sperm production, motility, and cellular structure can deteriorate - meaning that even if your partner's semen analysis was normal during your first pregnancy, it may have changed by now.
Conditions like blocked fallopian tubes, endometriosis, or new uterine issues (such as fibroids or polyps) can develop over time, interfering with ovulation and fertilisation. These conditions may not have been present during the first pregnancy.
A history of C-sections, D&Cs, postpartum infections, or other obstetrical complications can sometimes cause scarring or adhesions that affect future fertility.
A woman's egg quality and quantity naturally decline with age. If you had your first child in your late 20s and are now trying again in your mid-30s, your ovarian reserve and egg quality may have dropped significantly - a factor that was not a concern the first time around.
Gaining weight after the first pregnancy, developing PCOS, thyroid dysfunction, or other health conditions can also contribute to secondary infertility.
Know More About PCOS and Fertility
If you are under 35 and have been trying for one year without success, or over 35 and have been trying for 6 months, it is time to consult a qualified IVF specialist. Early evaluation can uncover underlying issues and significantly improve your chances of success.
At Bloom IVF, couples undergo comprehensive fertility assessments including:
Explore Fertility Evaluation & Treatments
Dr. Nandita P. Palshetkar has over 30 years of experience in treating infertility, including thousands of cases of secondary infertility across her 8 Bloom IVF centres in India. Under her expert care, couples have access to a full spectrum of advanced fertility treatments tailored to their specific needs.
If irregular ovulation is the cause, fertility medications can help stimulate egg production and regulate cycles.
For mild male factor infertility or unexplained secondary infertility, IUI involves placing washed sperm directly into the uterus around ovulation time.
Learn More About IUI Treatment
For more complex cases, IVF (In Vitro Fertilisation) with ICSI (Intracytoplasmic Sperm Injection) - a technique Dr. Nandita introduced to India in 1996 - can help overcome sperm quality issues, tubal blockages, and egg quality concerns.
Understand IVF & ICSI Treatment
This breakthrough technology, first introduced by Dr. Nandita in India in 1998, helps the embryo implant more effectively into the uterine lining.
Discover Laser-Assisted Hatching
For women whose egg quality has declined significantly with age, egg donation offers a highly effective solution with success rates of 50–70% per cycle.
If you have had failed IVF cycles before, Bloom IVF offers specialised protocols to identify the root cause and improve outcomes.
Get Help for Recurrent IVF Failure
According to experts, early medical evaluation is crucial because it can uncover treatable conditions and significantly improve success rates. The longer couples wait to seek help, the more their fertility potential can decline - especially for women above 35.
Secondary infertility is not something couples should navigate alone. With the right diagnosis, advanced treatment options, and a supportive medical team, many couples successfully go on to have a second child.
Dr. Nandita P. Palshetkar is not just an IVF specialist - she is a pioneer who has introduced path-breaking fertility technologies to India, including ICSI (1996), Laser Hatching (1998), Egg Freezing (2007), Embryoscope (2012), and non-invasive PGT-A.
Know the Doctor – Profile of Dr. Nandita
At Bloom IVF, couples with secondary infertility have successfully welcomed their second child through personalised treatment plans. Recent patient reviews highlight Dr. Nandita's compassionate approach, transparent communication, and consistent availability for support throughout the fertility journey.
