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

### input:
Diagnosis: Seconday Infertility for hysterolaproscopy Indication: Seconday sterility Findidng & Procedure: Diagnostic Hysteroscopy: Uterus cavity entire. Both Ostia visualized. Normal endometrium. No adhesions, No polyps. No fibroids. Normal Hysteroscopic findings. Laproscopy: Routine entry Uterus bulky. Both tubes normal. Both ovaries normal. No adhesions. No endometriosis. On chromotubation both tubes freely patent to dye. Hello doctor, I had a surgery of hysterolaproscopy on 26/6/2014 (4th day of cycle) and its already 26/7/2014 (34 days) till today I didn t get period? what does it mean

### output:

Hello there, thanks for the query.  Few things you have mentioned here is reassuring. Firstly, you already have a child from natural conception. Secondly, your tubes are functioning fine and the inner lining of uterus (endometrium) and cavity look fine. And there are no other issues on hysteria laparoscopy. Rather terming this scenario as secondary infertility I would just call it subfertility which means the ability to conceive naturally in on the lower end of time frame needed for conception. In simple words, it may just take a little more than longer for you to conceive on your own.  Having said that, if you are past 30 years of age and have been trying for more than 2 years, I recommend you to opt for ovulation induction Chat Doctor.  Delayed periods once in a while are not concern If you are a previously regularly menstruating woman. You can choose to wait for 10 more days for your periods or take Tab. Regesterone 5 mg twice daily for 5 days. Periods are expected to happen 2 to 7 days once you stop medication. Hope you have been answered satisfactorily. Good luck.