<s>[INST] i cant get conceive after 4 years of my marrge...i had endrometriosis & also utirine septum...but it operated last march 2013...now & evry time my periods is regular  under 28 days...little abdominal pain....my husbands simens report totat okk....in this situation cant i get conevie  naturally witout help of iui or ivf?...what should i do now..my age 30 & my husband 35..... [/INST] Hi, Thanks for writing in. As your husband has got semen analysis report normal, you must be further evaluated. You have got endometriosis and uterine septum surgery and this is a significant factor for not conceiving. Laboratory methods like IVF and CSI can progress to normal pregnancy only if the uterus environment is conducive to harbor the pregnancy and further growth of uterus. The surgery and uterine septum details are not mentioned, however the chances of a fruitful pregnancy can be discussed with an infertility specialist. Hope this helps. </s>