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

### input:
Hi I am 31 yrs female, 48 kgs of lean frame. I hv been trying to conceive for the last 4.5 yrs & hv been thru 3 iui, 1 ivf with a positive pregnancy that ended in an early miscarriage with low ChatDoctor count 18 days post ET, as I had good response to cycle & multiple frozen embryos I under went two more rounds of frozen cycle with negative pregnancy test. This was 2 yrs ago. As of now both me & my husband hv normal reports but I am slowly having a few unovulatory cycles. I track my cervical mucosa & home test for ovulation to increase my chances to conceive naturally but am loosing hope now. I hv previously undergone all the battery of tests at multiple fertility clinics & got fed up with stimulation etc so want to try naturally. Can u help me wit a simple protocol that I can follow for at least 3 more cycle before I go back to ivf! I am a dentist & researcher so hv a good understanding of medicine in generally. All my general blood work ultrasound etc r normal as I keep repeating them every 6 months to keep a track. So r my husband s counts. Thanks

### output:

Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic. 2. I am sorry to hear about your previous pregnancy loss. I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Avoid deep-fried foods, bakery products and refined sugars. Use of vitamin B 12 and Folic acid, omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. 3. Also, ensure patency of the fallopian tubes by doing post menstrual HSG, hysterosalpingography. If semen analysis reports are normal, and tubes are patent, you need not worry.  4.  Three months after following these changes, you can safely re-try again for IVF. I hope this answer helps you. Thanks. 