### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 24. I had a miscarriage last year in July. Since then my husband and I have been trying to get pregnant. To make my period regular, I decided to get on birth control. First Loestrin and then the Nuva Ring. Both birth controls had horrible side effects for me and my husband and decided that I get off them. I got off the Nuva Ring in June of this year. I had a period then. Skipped July and had a period August 23rd. I was experiencing pregnancy like symptoms for the last 2 months with no period. I have taken 8 home tests and they have all come back negative. So yesterday, almost at my 3 month mark of no period, my period starts and I get a few severe cramps that I subside with Motrin. I am still having heartburn, headaches and fatigue. Im starting to lean towards a thyroid problem. Is there any advice you can offer me?

### output:

HI, I understand your concern, To get pregnant, It's essential to have regular periods with ovulation.  -I would advise you to get examined by a gynecologist followed by investigations as per her advice. (Blood CBC/ thyroid function tests/ USG lower abdomen to exclude or diagnose POD, ovarian problems, fibroid uterus/ blood sugar ) . Followed by specific treatment - Get your husbands' semen analysis done to confirm it to be normal.  - have a healthy lifestyle & diet to be in excellent health & thereafter try for pregnancy as follows.  - Take Tablet folic acid/ vitamin E three months before planning the pregnancy.  - Avoid any health problem in these 3 months. Let HBO be > 12 GMS %.  * test for ovulation day by LH surge test.  - have unprotected sex after LH test +ve for 5-6 days regularly / at least alternate days.  * confirm pregnancy after 8 days delay in periods(by HPT) & consult doctor soon after the pregnancy test is + ve.  Wish you good luck.  Thanks.