Hi, I understand your concern. Secondary sterility can arise due to Male health issues- diabetes, mumps, tuberculosis, severe weakness.. mostly leading to abnormal sperm counts, Female health issues - Problem in ovulation / irregular periods, thyroid problems, ovarian problems, diabetes. - Problems in felae genital tract- uterus/fallopian tubes. - some diseases like tuberculosis, genital herpes.. which can lead to sterility. Management - It consists of - - Investigations of both male & female partners,& treatment as per cause. - You have menstrual blood PCR test +ve. It indicates some genital infection which may cause the sterility. You need to consult a sterility specialist, show him your results & seek specific treatment of the infection detected by PCR. followed by routine health check up & investigations to look for problem caused by the disease.. Get treatment for it side by side. * This is aimed at getting rid of the basic cause & removing organic defects ( if any ) created.. to facilitate conception. thanks.