<s>[INST] Hi, I am 43 years old, got married 10 months ago and don t conceive yet. In the starting after a month I did ultrasound and more tests and doctor said that I am pregnant, after few visit to her and FSH test she said it was just a chemical pregnancy which disappointed me a lot. Doctor insist me to go for IVF but I want to try to conceive without doing IVF. Later on doctor said I have some fibroids and one is inside my uterus which does not allow me to conceive that fibroid was removed in 16th of January 2014 and now I am taking Lezra tablets which I completed today. Need your help and suggestions please. I know that I am 42 now and it is not easy for me to conceive but still hoping for it. My FSH was also very high about 17.53 and I am on DHEA medication which brought it down to 6.84 now. [/INST] Hi I want to know regarding your AMH value and the follicles count on ultrasound. Actually your age is on a higher side.bangkok As your fibroid has been removed it will not be of much problem in conceiving but if your follicles count is low you might need IVF. as you have taken lezra tablets it is given to increase the size of follicles. So you can get repeated ultrasound done to find out if any follicle is forming or not. If follicle is forming then you can try naturally but if it is not growing you will have to opt for injections to make them grow. As the chance of pregnancy is only 7 to 10 percent with medicines and it is 40 to 50 percent with IVF, don't waste too many cycles in trying naturally. IVF is a better option for you. Hope I have answered your question. If you have any other query I will be happy to help. </s>