Thanks for writing in.
If your cycles are regular and ovulation is taking place, there should be no problem in conceiving. We would need to assess whether ovulation is taking place or not by doing serial ultrasound
scans. While endometriosis
does impair fertility, main women can conceive given that ovulation is taking place and their partner's semen analysis
is normal. So in this regard, we need to do a ovulation status check and a semen analysis.
We would need a thyroid profile (TSH, fT4, fT3) to assess what is the status of the thyroid nodules. They can cause either no effect, hypothyroidism
( decreased function of the thyroid gland) or hyperthyroidism
( increased function of thyroid gland). If thyroid function is normal, nothing needs to be done. If there is hypothyroidism ( TSH would be increased, fT4 would be low) , we would need to start you on thyroxine. Hypothyroidism itself can also contribute to problems in conceiving. If there is hyperthyroidism, we would need to start you on anti-thyroid drugs.
Hope this helps