instruction: hi doctor I am 31 years old I am trying to conceive for two years and did four comic cycles ovulation happened but no conception then did letrozole cycle and got pregnant but was later diagnosed with molar pregnancy and had and then took a break for six months again did two clomid cycles ovulation happened but no conception now did letrozole cycle but no conception I do not understand what is the reason for no pregnancy my husband did his semen analysis it is 42 normal my hormones tests for fish prolactin was normal and pelvic ultrasounds are normal could you please guide me regarding this I am really upset
output: hi as you have taken many treatments but pregnancy is not happening actually I need to see all the investigations before coming to a conclusion but with your history I can say that you can do hysterosalpingography to see the tubes are good or not if not satisfactory then you may require a laparoscopic hysteroscopic examination to see the tubal cyst and endometrial lining there is a history of molar pregnancy so need to do some more test also pregnancy is not a simple process you can consult infertologist with all the previous reports and can continue the treatment many times it takes more time because it is very complicated and the chance of pregnancy is only once in one cycle patience and a positive attitude towards treatment are also as important as the treatment itself