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For more than two years, the pain in Bruce Pulley’s left hip slowed him down and kept him from doing the things he loved, especially fishing. His BJC Medical Group orthopedic surgeon, Jesse Beard, DO, recommended a hip replacement as treatment to help relieve his pain, but the thought of surgery made Bruce nervous, so he put off scheduling it.

Think of the word “infertility,” and you might picture a couple without children struggling to get pregnant or stay pregnant. But there is another set of people — those who have successfully conceived and given birth to one or more children — who struggle with infertility, too. Called secondary infertility, the condition often carries an extra burden: Those affected by it might feel guilty over wanting another child; those close to them may be unsympathetic because they are already a parent; or frustrated because getting pregnant the first (or second) time was relatively easy.