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

### input:
i have been trying to conceive since last 3 months but is unable to, was on clomid for last 2 months but this also failed, I have a four year old son, and have a history of  a miscarriage (feb 2005), ectopic pregnancy and ovarian cyst (jul 2009) treated last year.......what should i do wait for another few months or get myself treated for infertility? my doc put me on pyricontin when i refused to take any more clomid! what is the best for me?

### output:

Hi How are you doing ? Let me start on a positive note, if you have had one pregnancy then you will have a second for sure. 100% sure. You have proved your capability !!! Kindly see if the following checklist of investigations is househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor.  Being such a small opening tube can get blocked easily, So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods William that history of tubal pregnancy, I would suggest tubal testing before anything, I bet there is some problem in the tube. If unfortunately both tubes have problem IVF is the only option. Even if both tubes are open & you don't get pregnant after 3-4 months, think of IVF, as if tube is possibly damaged leading to ectopic pregnancy. Tube may be physically open, but not functionally- the ciliary process inside tube needed to push egg, sperm & embryo may be damaged !!  Hope I have cleared your overall the best