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

### input:
HI DOC, iam 38, have 2 daughters(10yrs, 6yrs) and we r trying for one baby for last 1 year but i m unable to concieve. my tests follicular tests r done all normal yesterday on day 15 of my cycle egg rupture was reported. follicle size-- rt. ovary 6, left ovary 21, endometrial thickness 13mm. today PCT was done but before that caustic soda douche was adviced 2 times yesterday night n today 2hrs before starting test. result of pct was good-- mucus clear, cervix normal, ferning good, but 5-6 dead sperms, and occassional motile sperms were seen. doc has adviced me tab. nidagen 200 bd. pls tell me how to go further for t/t

### output:

His, Welcome to Chat Doctor. You are 38 yrs old with 2 girl baby. You are trying for a baby for 1 yr.Currently, you are suffering from Secondary Infertility. First thing, do a fresh SEMEN ANALYSIS for your husband. Then check report and if any abnormality in report, treat him accordingly. On the other hand if Semen report is normal, then you have to do some investigations like USG lower abdomen, FSH/LH, Thyroid profile, PPBS and HSG for tubal patency. Along with take healthy diet, do light exercise, sleep enough, avoid stress and maintain personal hygiene. Do all thing, then consult with your gynecologist or with me. All the best. For more information, mail me.... Chat Doctor. patra12@gmail.com