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

### input:
hi my name is mrs vivian adams i have been married for 5 yrs but b$ i got married i had a d&c for a baby that was 5 months old in 2005 and til now i have been trying to get pregnant no way i have done all series of test by tubes are open i had hysteroscopy last yr that confirm that i have pieeces of bones stuck to the walls of my uterus which was removed and the doctors said the womb i clean now that i should try again for pregnacy i have been trying till now still noway my periods are not normal it comes only one day in d month and its not even flowing well pls i need help advic on what nxt to do thanks

### output:

Dear Vivian, It seems that your uterine lining (endometrium) has been grossly damaged due to D & C complications and hence you are not getting sufficient bleeding during your menstruation. Paucity of the endometrium is not allowing successful implantation of the fertilized ovum. 1. First ensure by ultrasonography that you release the eggs regularly. 2. You will have to take steps for developing your endometrium. One way is to get intrauterine device inserted which will prevent the fusion of the uterine walls and will facilitate the endometrial growth. 3. Along with take Estrogen preparations continuously for 3 months (thus you will not have menses for 3 months). After three months, discontinue the pills to have menstruation, which may be good in amount. You have to take this therapy only with the advice of a Gynecologist. Please report to a Gynecologist. I hope this gives you some guidelines. 