Hi Dr. Purushottam welcomes you to HCM virtual clinic. I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options. First of all I will suggest you to do tubal patency test HSG - x ray. It will help to clear doubts about tubal patency. Secondly semen analysis of your partner needs to be normal. Thirdly with tablets like fertomid I will suggest to do follicle study from day 10 of the cycle. And get Injection HCG 5000 I.U. when follicles reach 18 mm size. This can be repeated for 3 cycles if needed. Indulge in routine exercise and healthy diet regimen. Avoid fried foods, Salty foods, Refined sugars Include more portions of fruits , vegetables and salads in diet. Also start with folic acid , B12 supplements right now. I hope my answer helps you. Thanks. Wish you good health.