<s>[INST] Hi Dr. Nandita , Iam trying to concieve for last 5 years with various treatments like 6 failed IUIs/Laproscopy. Iam 5.9 ft and 84 kgs. I know iam obese and had various weight reduction and not able to. Iam fed up with and cannot affrod IVF since it is expensive in Chennai. Kindly advise. [/INST] HIWell come to HCMAs I always say to all my patients those asks such question that pregnancy is more natural phenomenon and this completely depends upon the compatibility, and that is presence of ovum and sperm with normal parameters  at the time of coitus, but even after this pregnancy may not be possible on other hand I have seen many cases that even after the abnormal reports couple got the pregnancy and gave birth to healthy child, so just keep trying, take care. </s>