About this episode

Dr. Sasha Hakman discusses secondary infertility, its causes, and treatment options for women struggling to conceive after having a child.

Secondary infertility affects millions of women — and yet it remains one of the most isolating diagnoses in the fertility space. You already have a child, so you feel like you can't complain. But the confusion, grief, and frustration are completely real. In this solo episode, Dr. Sasha Hakman breaks down exactly what secondary infertility is, why it happens, and what to do about it — including causes that will genuinely surprise you. If you've been pregnant before and are struggling to get pregnant again, this episode was made for you. In this episode, we cover: What secondary infertility actually is by definition — and why pregnancy loss counts too, even if you never brought a baby home Ovulatory dysfunction: why it's the #1 cause of secondary infertility, how PCOS, thyroid disease, and high prolactin play a role, and how postpartum weight changes can quietly shut down ovulation How to track your cycle and confirm ovulation at home — including Dr. Sasha's favorite tools (Inito, LH strips, and progesterone testing) The age factor no one talks about enough: what the statistics actually say about childless-not-by-choice rates for women 35–40 and 40+ Premature ovarian insufficiency…

People in this episode

Host: Dr. Sasha Hakman

Topics covered

• secondary infertility
• ovulatory dysfunction
• PCOS
• premature ovarian insufficiency
• tubal disease
• endometriosis

Keywords

• secondary infertility
• ovulation tracking
• PCOS
• thyroid disease
• premature ovarian insufficiency
• tubal disease
• endometriosis

More episodes of Trying with Dr. Sasha Hakman

• Fetal Movement, Kick Counts & Stillbirth Prevention with Count the Kicks · September 9, 2026 · 1h 3m
• OHSS: What You Need to Know Before IVF or Egg Freezing · September 2, 2026 · 58 min
• How to Get in Shape After Baby: Postpartum Fitness, Nutrition & Strength with Samantha Christine · August 26, 2026 · 1h 7m
• The IVF Protocol No One Explains: What Actually Determines Your Results · August 19, 2026 · 1h 16m
• Dr. Mamina Turegano on Hormonal Acne, Hair Loss & Skincare That Works · August 12, 2026 · 1h 4m
• The Truth About Cycle Syncing, Fasted Training & Building Muscle After 40 · July 29, 2026 · 58 min

Explore listener stats, chart rankings, contacts and more on the Trying with Dr. Sasha Hakman podcast page.