<s>[INST] I hav 7 yrs old daughter and Im trying for almost 4 yrs for a second baby but still not succeed yetIm on lezra nowI hav taken clomid n also tried IUIN also gone through DNCTaken prolifen  duphasten and etcIm now very depressedMay be Im suffering from PCOMy doctor suggest me for laparoscopy [/INST] Dear member, Thanks for writing. You have not mentioned age of yourself and your husband. With increased age chances of having poor ovarian response to Chat Doctor.  Are semen parameters of husband normal? ? Laparoscopy and hysteroscopy along with checking for patency of fallopian tubes should give a more clear picture. If everything is normal including blood tests for ovarian reserve and still after 5_6 cycle of Closed with FSH, and GUI fails then IVF with CSI is an option. Please keep faith. Infertility treatment requires abundant patience from patient as well as the doctor. Write back if any queries. </s>