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

### input:
Hi there, I am 33 years old female and my husband is 36 years old. We are trying for almost 2 years to have a baby. I took fertomid 50 mg for initial 6 months and then tried naturally. Nothing worked than I did one IUI , that did not work , this was in Jan 2013. My doc asked me to do HSG and both the tubes came blocked and suggested laproscopy. We did lap in feb 2013, left tube was corrected but right was already ok so nothing done. We did 2 IUI in May and June 2013, My husbands report was not ok during this time, he has kept on medication for few months, his numbers improved. We did 2 more IUIs in the month of oct and dec 2013, sperm count and other things were good and follicle size was  good too but IUI was not sucessful. I would like to know shall we be trying more IUIs or IVF should be thought next? My last 4 IUIs were with injections and medicine.Can IUI work in our case? or it is not a option for us now?

### output:

Hi. If everything is fine and you both have been worked up properly, then IVF is a good option. You are already 33 and slowly after 35, ovarian reserve also starts going down. If you have not succeeded by 4 Luis, maybe there is still some problem in tubes, like some adhesions or improper tubo-ovarian relationship or any hidden cause which has not allowed GUI to be successful. You may take a chance for 1-2 times more, and it also depends on affordability for IVF procedure. There also result is not 100%. So you both have to decide and take chance. Good Luck and thanks.