<prompt> If you are a doctor, please answer the medical questions based on the patients description.After two years of marriage I had a miscarriage and post that have not been able to conceive in last 3 years...all reports were normal till one day I got a AMH serum test done where my fertility ratio came as 0.58...kindly suggest what do I do to conceive  <response>: Hi, I think you should do a day 2 ultrasound for astral follicles count. AMH tells the number of prenatal and astral follicles left in your ovaries. It is on a lower side for you. But if astral count is more than 7 then you can try some medicines for growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. If it doesnt work then you can go for GUI. If ultrasound shows follicles count less than 4, you need to go for IVF. Hope I have answered your question. Regards Chat Doctor. 