Our expert says:
The problem that you describe is called secondary infertility. The major cause that needs to be excluded in this problem is tubal damage and therefore my first advice would be for you to have your tubes evaluated. Patency of the tubes is best determined by means of a laparoscopy (operative procedure) or alternatively by an x-ray called a hysterosalpingogram (HSG). The latter is cheaper and less invasive but is less accurate than the operative procedure. However, from a cost effective point of view the x-ray is a reasonable initial step.
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