<s>[INST] Hello doctor my name is hema. I m trying to conceive last three years but all in vain. I have already done hystroscopy and laproscopy. Three settings of iui but all failed. Then i changed my doc. She gave me duoluton l tablets. Plz guide me for conceiving. Thanks [/INST] Hi hemp, Thanks for writing to Chat Doctor. Hysteroscopy helps to diagnose any polyp or adhesions in uterus and also uterotubal junction defects. But it won't help to know tubal patency.  I suggest my patients to undergo tubal patency test before GUI. I would suggest you to undergo tubal patency test. If tubes are patent you can try 3 more cycles of GUI.  Routinely we advise GUI for 6 cycles. If that fails IVF(in vitro fertilization) is next option. But no procedure have 100% success rate. Hope I have been helpful. Regards Chat Doctor.  </s>