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 done
Husband-
Semen analysis at least 2- done 4 weeks apart preferably in an
infertility center ( examination done by andrologist), Blood sugars
Wife - Blood Sugars,
Thyroid profile
Ultrasound scans to evaluate
Uterus , Ovaries & adnexa
Confirm tubal patency- most important- Tube is the connection
between uterus & ovaries( the bridge where sperm meets the egg &
forms a baby) this is size of hair follicle & cannot be seen on scans.
Being such a small opening tube can get blocked easily,
So check with HSG( Xray with dye), or SSG ( Scan with dye) or
Laparoscopy
If all this done & found normal , nothing can stop a pregnancy with God's will
With 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 don't 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 query
All the best
Dr.Balakrishnan