Primary and secondary infertility

Compassionate, Expert Treatment for Primary & Secondary Infertility by Dr. Jovana Lekovich

If you’re having trouble conceiving, you’re not alone—and you’re not without options. Dr. Jovana Lekovich, a highly respected infertility specialist in New York City, provides expert care for both primary and secondary infertility, helping individuals and couples understand their fertility challenges and successfully build their families.

With advanced diagnostics, evidence-based treatments, and a deeply compassionate approach, Dr. Lekovich helps patients take clear, confident steps forward—no matter where they are on their fertility journey.

What Is Primary Infertility?

Primary infertility is defined as the inability to conceive after 12 months (or 6 months for women over 35) of regular, unprotected intercourse—when no prior pregnancies have occurred or timed insemination with donor sperm. It can be caused by a wide range of factors in either partner, and early diagnosis can significantly improve outcomes.

Common causes of primary infertility include:

  • Ovulatory disorders (like PCOS)

  • Low ovarian reserve or egg quality

  • Blocked fallopian tubes

  • Male factor infertility (low sperm count or motility)

  • Endometriosis or uterine abnormalities

  • Unexplained infertility


What Is Secondary Infertility?

Secondary infertility refers to difficulty conceiving or carrying a pregnancy to term after having had one or more previous pregnancies, regardless of the outcome. Many patients are surprised to face new fertility challenges, even after a healthy birth in the past.

Possible causes of secondary infertility include:

  • Age-related decline in fertility

  • Changes in reproductive health (e.g., fibroids, endometriosis)

  • Hormonal imbalances

  • C-section scarring or complications from prior births

  • Male partner fertility changes

Dr. Lekovich understands the emotional toll of secondary infertility—especially when expectations are shaped by past pregnancies—and provides empathetic, effective care to help patients navigate this often-overlooked condition.


Diagnostic Testing & Evaluation

As a board-certified reproductive endocrinologist, Dr. Lekovich begins with a thorough fertility evaluation for both partners, including:

  • Hormonal testing (FSH, AMH, LH, TSH, prolactin)

  • Ovarian reserve and antral follicle count

  • Hysterosalpingogram (HSG) to assess fallopian tubes

  • Transvaginal ultrasound for uterine health

  • Semen analysis for male partners

  • Genetic or immunological testing (when indicated)

This comprehensive approach ensures an accurate diagnosis and allows for a targeted treatment plan.


Fertility Treatment Options

Depending on your specific diagnosis, Dr. Lekovich offers a full spectrum of fertility treatments, including:

  • Ovulation induction with timed intercourse

  • Intrauterine insemination (IUI)

  • In vitro fertilization (IVF)

  • Egg and sperm donation

  • Fertility surgery for tubal or uterine conditions

  • Preimplantation genetic testing (PGT)

Each treatment plan is tailored to your age, medical history, reproductive goals, and emotional needs. Dr. Lekovich emphasizes transparent communication, education, and compassionate care at every stage.


Why Choose Dr. Jovana Lekovich for Infertility Care?

  • 🩺 Board-Certified in Reproductive Endocrinology & Infertility
    Trusted by patients and colleagues alike for her clinical expertise and successful outcomes.

  • 🧬 Comprehensive, Individualized Care
    Every infertility journey is unique—your treatment plan will be too.

  • 👨‍👩‍👦 Inclusive Approach to Family Building
    Serving heterosexual and LGBTQ+ individuals and couples with respect and excellence.

  • 🗽 Located in New York City | Global Reach
    Conveniently serving local and international patients seeking world-class fertility care.

Take the First Step Toward Parenthood

If you’re struggling with primary or secondary infertility, you don’t have to face it alone. Dr. Jovana Lekovich and her dedicated team are here to provide clarity, support, and expert care that moves you closer to the family you envision.

📅 Schedule your consultation today to begin a personalized path to fertility.

[Book an Appointment] | [Contact Dr. Lekovich]