Hi! If you were my patient, I would begin a work up at this point. Usually after a year of trying we start to look for problems. The first thing I usually try to find out when patients come to me is: are you having regular periods and have you used ovulation predictors to find out if you are ovulating regularly. If the answer to that is "yes" then the next thing I do is a semen analysis. The third thing I do is some type of dye study of the fallopian tubes to be sure they aren't blocked. Go to see a gynecologist or fertility expert at this point and they can help you with these tests. Good luck! Dr B
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