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

### input:
helo, im 29 years old...married for 2 years but i just got pregnant after 1 year and 10 mos. after marriage, i undergo fertility work out with my OB Gyn luckily i got pregnant but i lost my child with 10 weeks of age..he lost his heartbeat and i was undergone D&C...right now we are trying to conceive again but it is really hard...i don t know what probably the cause why we can t conceive easily?can i adhere an advice for fertility work out for me and my husband?thank you so much...

### output:

Hello thanks for your query. I will briefly outline a work up which you can then follow, in consultation with a reputed Infertility specialist. 1. Thorough evaluation of previous abortion. Ideally, the aborts tissue should have been sent for chromosomal analysis. You should be evaluated for genetic defects along with your partner, hormonal deficiencies, uterine anomalies, autoimmune causes, infections etc. - as these lead to abortions.2. Basic laboratory workup - complete blood count, viral markers, hormones like LH, FSH, TSH .3. Tests for ovarian reserve - pelvic ultrasound with astral follicular count, AMH, follicular study documenting ovulation.4. Semen analysis of your partner5. Fallopian tube testing, ideally in the form of a mystery laparoscopy. Based on the abnormalities detected on this workup, you should go for natural cycles/ ovulation inducing agents/ or ART (assisted reproductive technologies) in the form of GUI or IVF. Take folic acid supplements, maintain a healthy, active lifestyle, maintain a healthy BMI, and do not yield to stress/ anxiety.