<s>[INST] Hi Doctor, Am rose, 30 yrs old. got married in 2011. we are try to conceive many times, but it failed. I have severe dysmenorrhea for last 6 years. In the ultrasound, there was a posterior wall intramural fibroid. Diagnosed as Primary infertility/Endometriosis/ PCO/ Ovarian cyst. Planned for laparoscopic myomectomy. Diagnostic Hystero Laparoscopy done. Findings: uterus bulky; anterior cul de sac adhesious + sigmoid adherent to lateral pelvic wall & posterior uterine wall B/L tubes and ovaries are adherent tobowel and uterine surface; Released. B/L tubal die spillage+. No obvious fibroid. And i got prescribed for T. Clomiphine 2 od for 6 cycles, T.Oosure 1 bd for 3 month & T.Folsafe 1 od for 3 months. Can you please tell me whether i can have a Baby?/ Is there any chance for the re-occurence of adhesions?/ any diet controll?( my height is 164cm & wt. 58kg). thank you, Rose. [/INST] Goo day! Conceptions are difficult when there are adhesions or fibroids, or interventions or cysts or weight loss issues. You need a fertility consultant and continue the treatment and stay in touch with your doctor. It will take time and needs diet and lifestyle modification. Needs a diabetic ADA diet and losing weight and least possible intervention to keep the tracts conceivable.take cares khan </s>