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

### input:
I am 22 years old. When I was 12, I had a cyst on my ovary and had to have it removed, along with a fallopian tube. I am now married and am trying to conceive. I do not have a cycle every month, and have not had one in almost a month. I have bought over-the-counter ovulation tests, and they come out positive. Any advice?

### output:

Hallow Dear, You have to consider multiple things while trying for pregnancy. 1. Even though your one tube is removed, remaining one tube is very much capable of picking up the eggs discharged from both the ovaries for conception, provided that tube is patent. I would advise you to undergo hysterosalpingography (X-ray of the uterus and tube after filling in radio-opaque dye) and/or Laparoscopy to assess then patency of the tube, normalcy of the uterine cavity (HSG) and any adhesions in the pelvis (Laparoscopy). 2. You are having irregular menstruation. Though one test by ovulation monitoring kit has indicated ovulation, maybe you are not ovulating regularly every month. You may undergo regular ovulation monitoring by ultrasonography. This will guide you for the day of intercourse also. Furthermore it can find out the thickening of the uterine lining and size of the follicle when egg was released. Follicles between 18-21 mm size give best results. 3. Please get your husbands' semen also examined for its quality.4. If you have missed your period for one month, it is a good idea to get pregnancy test done on the overnight first morning urine sample. I hope this should help you. 