 
 <prompt> Summary: Many couples fit wait small before dem fit born pikin, and e dey normal! But if you and your partner don try for 1 year without belle, e don reach time to discuss your worries with your obstetrician. Dem fit discuss possible causes for infertility and help you reason your next steps. While e no good make you dey rush take fertility treatments just to born twins, make you sabi say these treatments fit small increase your chances of born plenty pikin. E fit dey hard sometimes to know wetin dey cause fertility wahala for some couples. About 25% of infertility still dey unexplained even after tests. To rule out common fertility issues, your doctor go ask about you and your partner medical history, sexual activity, symptoms, medications, and lifestyle choices (like stress levels, smoking, or drinking alcohol). Your doctor fit also run the following tests: A blood test to check levels of hormones wey dey stimulate ovulation. Chlamydia tests (urine test for men and cervical swab for women), as this STI fit affect fertility. An ultrasound to see if there dey blockages, scarring, or other issues (like endometriosis or fibroids) for the ovaries, womb, or fallopian tubes. If the doctor see possible problems, dem fit order follow-up X-ray or laparoscopy. A semen analysis to check for low sperm count or sperm wey no dey move well. You and your doctor go decide together whether fertility medications dey right for you. Una go also work together to choose which medication you go take. Make you sabi say most of these medications fit increase your chances of born plenty pikin. E go generally cost between $1000 and $6000 USD to do these treatments under medical observation (routine ultrasounds and checkups). Some common options include: Clomiphene citrate (CC), wey dem dey take for 50 mg/day doses for 3-6 menstrual cycles. Synthetic Human Chorionic Gonadotropin (hCG), wey be injection. This type of drug no get known side effects, unlike other fertility medications. Follicle Stimulating Hormone (FSH), wey be injection. Human Menopausal Gonadotropins (hMG), also an injection and the strongest ovulation medication wey you fit take. Surgery fit dey recommended if you get blockages or scarring for your fallopian tubes, or if you get endometriosis or fibroids. If there dey blockage wey dey prevent sperm from dey ejaculated normally, surgery fit correct this issue. Doctors fit also surgically extract sperm, if e necessary. Some of these surgeries fit dey covered by your insurance. Discuss your payment options with your doctor and insurance provider before you commit to a particular treatment. Intrauterine Insemination (IUI) involve placing sperm inside woman uterus to help along conception. E fit dey recommended for men wey get low sperm counts or limited sperm mobility. E also dey an option for couples wey get unexplained infertility problems. IUI usually cost between $300-$1000 USD. With In Vitro Fertilization (IVF), the mother go start by complete round of fertility medications to encourage ovulation. An egg go then dey harvested and mixed with the father sperm. This fertilized embryo go dey implanted into the mother uterus. IVF treatment fit dey recommended if the mother get blockages for her fallopian tubes. E also dey often a last-resort treatment for couples wey get unexplained infertility. Since most doctors go only implant 1 embryo at a time now, the chances of multiples due to IVF treatment don reduce well well since the late 1990s. IVF na expensive treatment option, e usually cost at least $30,000 USD. <response>: ```Discuss your fertility issues with your OB/GYN afta 1 year of try. Consult with your doctor to determine possible causes of infertility. Use fertility medications to assist with ovulation issues. Look into surgical options to correct internal issues. Try IUI to address sperm issues or unexplained infertility. Turn to IVF once you don try other treatments.``` 