Do a complete workup before starting treatment haphazardly. You need to do ALL the following simple medical tests: Semen analysis for your husband ( to check his sperm count and motility). Read more at www.drmalpani.com/sperm.htm Blood tests for you for the following reproductive hormones – FSH ( follicle-stimulating hormone),LH ( luteinizing hormone),PRL ( prolactin) , AMH ( antiMullerian hormone) and TSH ( thyroid stimulating hormone) on Day 3 of your cycle, ( to check the quality of your eggs). Do this from a reliable lab such as SRL ( www.srl.in). Day 1 = Day the period starts. HSG ( hysterosalpingogram, X-ray of the uterus and tubes, www.drmalpani.com/hsg.htm) on Day 8 of your cycle ( to confirm Your fallopian tubes are open); The vaginal ultrasound scan on Day 10-11 should check for the following. A. ovarian volume b. antral follicle count c. uterus morphology d. endometrial thickness and texture Please send me ALL the detailed test results and medical reports . You can scan them in as a single doc or pdf file and email them to me. Please send me all the results together, rather than piecemeal, so I can interpret them intelligently With these test results, we can determine what medical problems are causing your Secondary Infertility. If there is a problem, then we can treat it ! Taking treatment at a world-class clinic will maximize your chances of success and give you peace of mind you did your best ! The fact you have conceived in the past ( even though you did miscarry) means your chances of having a healthy baby are excellent, so please don t get disheartened ! We look forward to helping you to complete your family ! Regards, Dr Aniruddha Malpani, MD Malpani Infertility Clinic, Jamuna Sagar, SBS Road, Colaba Bombay 400 005. India Tel: 91-22-22151065, 22151066, 2218 3270 FAX ( India) 91-22-22150223. Helping couples build families ! PS Read our book, How to Have a Baby – A Guide for the Infertile Couple, Online at www.DrMalpani.com !