<s>[INST] Hi, I had a paragard copper IUD in for 71/2 years, had it removed in aug. 2010 have been ttc with no luck. Could there be something wrong with me? I am 32 55 and 160 pounds, when I had the IUD removed my DR. had me make a fist with both hands and place them under my hips because she couldnt get to the IUD any other way?? [/INST] Hi welcome to Chat Doctor. I have gone through your question. As you had removed cu t, which is there for 7 1/2 years. You should try for attest 4/5 months naturally after removing cu t. If not get success then I would suggest doing histosalpingography HSG to rule out any uterine abnormality, fallopian tube blockage as septation might form due to long-standing cu t. Hope I answered your question. Would be happy to help you further. Take care. </s>