<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have been trying to conceive since last 3 months but is unable to, was on clomid for last 2 months but this also failed, I have a four year old son, and have a history of a miscarriage feb 2005, ectopic pregnancy and ovarian cyst jul 2009 treated last year...what should i do wait for another few months or get myself treated for infertility? my doc put me on pyricontin when i refused to take any more clomid! what is the best for me?  <response>: Hi How are you doing ? Let me start on a positive note, if you have had one pregnancy then you will have a second for sure. 100 sure. You have proved your capability !!! Kindly see if the following checklist of investigations is househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center examination done by an Chat Doctor. Being such a small opening tube can get blocked easily, So check with HSGX-ray with dye, or SSG Scan with dye or Laparoscopy all this done found normal, nothing can stop a pregnancy with Gods William that history of tubal pregnancy, I would suggest tubal testing before anything, I bet there is some problem in the tube. If unfortunately both tubes have problem IVF is the only option. Even if both tubes are open you dont get pregnant after 3-4 months, think of IVF, as if tube is possibly damaged leading to ectopic pregnancy. Tube may be physically open, but not functionally- the ciliary process inside tube needed to push egg, sperm embryo may be damaged !! Hope I have cleared your overall the best 