<s>[INST] i have bn married for 4yrs, but i havnt conceived, my menstrual cycle is sometimes painful and i feel some lump under my abdomen but they are not painful. wat causes m not to conceive is it these lumps please help doc, desparate need a child [/INST] Hi welcome to Chat Doctor. I have gone through your question. As you have pain during menses. I would advise doing ultrasound scan for ovulation profile, thyroid profile, and do histosalpingography HSG. These will help in finding the cause. Then consult gynecologist with these reports. Also get done semen analysis of your husband. Hope I answer your question. Would be happy to help you further. Take care. </s>