Trying to get pregnant with a second child

ttcWhether getting pregnant the first time was easy or required assistance, there are many factors that influence your ability to get pregnant a second time.

If you are planning a pregnancy, please remember the importance of prenatal vitamins, eating well, and regular activity.

It is difficult to predict from a prior experience how long it might take you to get pregnant.  Your increased age and changing medical history can be factors. Changes in a woman’s ovaries, uterus, and tubes can make it easier or harder to get pregnant for the second time.

Here are some factors that can impact your ability to conceive:

Is your menstrual cycle regular?

Having regular periods increases your chance of getting pregnant.  If you didn’t require medical assistance to get pregnant the first time, you can expect normal menstrual cycles to start within approximately three months after you stop breastfeeding.

If you are planning to try having a second child, talk to your gynecologist if your period isn’t regular and monthly about three months after you stop breastfeeding.

ttc 2nd childIs there anything you want to share about your first child’s birth?

Your gynecologist will ask you questions about your first pregnancy, labor and delivery. Did you have a c-section or a vaginal delivery? Did any infections occur after delivery? Your answers will help your gynecologist determine whether to refer you to a specialist.

Did you need fertility treatment for your first pregnancy?

If you had fertility treatments for your first pregnancy, your chance of getting pregnant without assistance – sometimes referred to as spontaneous pregnancy –  the second time is dependant on your reasons for fertility treatment previously. Feel free to call your fertility specialist, and ask if you should seek fertility treatment again based on your individual situation.

For example, if a couple used In Vitro Fertilization (IVF) for their first pregnancy because of blocked tubes, we would generally recommend another cycle of IVF to help the couple get pregnant with their second child.  If the couple still has embryos frozen from their first cycle, we would plan to use those embryos to help the couple get pregnant again.

The first time was easy, so why is it taking longer?

Perhaps you are one of the couples who did not have difficulty conceiving the first time, so you’re wondering why the second time isn’t as easy for you. Depending on your age and situation, you might want to seek the advice of your physician.  He or she will help you determine if it would be appropriate for you to get a consultation from a fertility specialist.


michael lanhamMichael Lanham, M.D. received his Medical degree from the University of Michigan.  He completed his residency in Obstetrics and Gynecology, also at the University of Michigan.  His research interests include interpretation of ovarian reserve measures, fertility preservation, effective implementation of electronic medical records and improvements in clinical efficiency.



fertility ann arborUniversity of Michigan Center for Reproductive Medicine brings the expertise of infertility specialists and research scientists together to help each of our clients have access to the latest fertility therapies and technologies available through one convenient center.  We offer a full spectrum of assisted reproductive technology options, including IVF, fertility preservation, intrauterine insemination, donor insemination, and pre-implantation genetic diagnosis.