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

### input:
What is the best way to get pregnant. We ve been trying hard for one year.. I am also under the care of an obgyne..and still not get one..I took medicines and some injections for my follicles..my husband s sperm count is very good and normal..I hope u can help me..thank u.

### output:

Hallow Dear, Since your husbands' sperm count is very good, one issue is sorted out. Now considering failure to conceive for one year, you will have to undergo certain evaluations to assess your fertility capacity. 1. Evidence for Ovulation: Ovulation can easily be assessed by ultrasonography and home kit. However, initial evidence by ultrasonography has many advantages. It provides direct visual evidence of egg release. Moreover, we can see the size of the follicle before it released egg. Follicle of the size between 18 mm and 21 mm size produce the healthiest eggs who have better possibility of successful pregnancy. Also, it provides information about lining of the uterus (endometrium). Endometrium of thickness between 9 mm and 14 mm is most conducive for successful implantation of the fertilized ovum. Once you locate the day of ovulation, sexual activity can be planned on and around the day of egg release. Microscopic study of the endometrium in the second half of menstrual cycle also can provide evidence of ovulation. Hysteroscopy gives the visual impression of endometrium and then biopsy of the endometrium can be taken for microscopic study.  Hysteroscopy will also give information about any abnormalities, diseases or adhesions in the uterine cavity. Hormonal study like FSH, LH, Progesterone, Estrogen and Prolactin can throw a light on the function of the genital system. 2. Patency of the reproduction tract can be assessed by Hysterosalpingography in which X-ray of the uterus and tubes is done after filling radio-opaque dye in the uterus. Laparoscopy also can give this information. Laparoscopy also provides information about the external appearance of the internal genital organs. If any issue is detected, it will have to be treated accordingly. If all the findings are within normal limits and still you fail to conceive, then it becomes an unexplained infertility when Artificial Reproduction Technique may have to be followed. Please report to an Infertologist. I hope this should help you. 