Hello there, thanks for the query.
Few things you have mentioned here is reassuring. Firstly, you already have a child from natural conception.
Secondly, your tubes are functioning fine and the inner lining of
uterus (endometrium ) and cavity look fine. And there are no other issues on
hysteria laparoscopy. Rather terming this scenario as
secondary infertility I would just call it subfertility which means the ability to conceive naturally in on the lower end of time frame needed for conception. In simple words, it may just take a little more than longer for you to conceive on your own.
Having said that, if you are past 30 years of age and have been trying for more than 2 years, I recommend you to opt for
ovulation induction drugs with intra uterine insemination to help you increase your chances of conception.
Delayed periods once in a while are not concern If you are a previously regularly menstruating woman. You can choose to wait for 10 more days for your periods or take Tab.
Regesterone 5mg twice daily for 5 days. Periods are expected to happen 2 to 7 days once you stop medication. Hope you have been answered satisfactorily. Good luck.