<s>[INST] Hello Doctor just asking a question regarding my niece. She is about 30years now but have not conceived . Please can you tell me what might be wrong . Thank you. Anyway do not carry on as I do not have money to pay !So you do not have to answer me bye [/INST] HelloThanks for writing to us with your health concern. There are various reasons for being unable to conceive. Firstly, it could be her age. Some women have less ovarian reserve, with age, the capacity of the ovaries to form mature eggs, declines. Also, she could be having blocked fallopian tubes.These are the ducts that carry the sperms right to the egg leading to fertilization. There could be an issue with her husbands' semen analysis. Also, ovulation could be a problem. Hormonal imbalances, genetic abnormalities, infections, - all these can lead to difficulties in conception. Please ask her to consult a fertility specialist. Take regular folic acid supplements, and maintain an ideal Mistake care. </s>