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

### input:
Hi, I Am  mr A chakraborty, here I am writing about My wife.Mrs. Subarna Mukherjee. Age - 30 years Blood group - B+ Married on - April 2002Subarna had 2 missed abortions:First was in Dec 2004. The pregnancy was not planned. When she missed her periods a test confirmed the news. She went straight to the doctor and was put on Folic acid tablets and led a very constricted life. At the same she had a throat infection and slight fever and took some medicines which were preg safe. After four weeks the scan did not show a fetal heart beat and soon after she spotted blood which passing urine. She was put on Susten (100mg 1-0-1 x 7 days) tabs and Protasi (2000 1amp) which reduced the spotting temporarily but shortly afterwards clots of large quantiy appeared and she had to undergo an emergency DNC.Doctor - Indira Reddy; Sagar Apollo Hospital, Bangalore.Second was in late 2006After trying to concieve for two months in vain she consulted the doctor and was suggested Microgest (100mg), EC 350, M2 Tone, A Sugar (500mg), FAS 3 KIT  and Clofert (50mg). With the help of above medicines she could conceive in Oct 2006. From day one when the preg test was positive (LMP - 11/9/2006) she was put on ChatDoctor (5000) injection along with Microgest (200mg), Ecosprin (75mg) and ofcourse Folic Acid. After 6 weeks the Ultrasound did not show a fetal heart beat and the report said missed abortion. There was no blood spotting yet. She continued with usual ChatDoctor and Microgest for one more week. The second Ultrasound done at 7 weeks showed normal fetal heart beat (No Corpus Luteum was reported in the scan report). After a week (at the 8th week) blood spotting started and the flow gradually increased leaded to yet another miscarriage. The abortion was done with oral medicines. Doctor - Hema Malini, Jayanagar, Bangalore.after that, we did not try 2yrs any thing..then from july 09 we started again treatment, she was taking letroz for oct to december...but no result .then month of april she has gone for Laprtscopy & dye test..now doctor are telling her 1 tube is ok, but other is block..., after that april to thik aug(10) we r trying..but no positive result..plzzzzz help me what to do now....

### output:

Hi welcome to Chat Doctor. I have gone through your question. As you had two miscarriages rule out any pathology in both reproductive system. Yes blockage in tube cause infertility. But your one tube is patent so from that your wife can conceive. I would advise making confirm that ovary from patent tube side is ovulating or not. Consult gynecologist for further treatment options like GUI intrauterine insemination or IVF invited fertilization. Hope I answered your question. Would be happy to help you further. Take care.