###Human: I am trying to get pregnant. Kindly guide me about the ways to conceive. ###Assistant: Hello. There are often many reasons why a couple cannot conceive. I did not see a semen analysis in your query or laboratory results (attachment removed to protect patient identity). If this has not been done, that would be the next step. If this has been done and is normal, other likely causes could be the mild endometriosis noted on the attached operative report even though it is not causing any distortion of the pelvic anatomy. Most couples will try intrauterine insemination (IUI) if sperm count is normal, as this is usually the less expensive option. If IUI fails to achieve pregnancy, IVF (in vitro fertilization) is typically the next step. There is also a test to check for ovarian reserve or if quality oocytes are the present called AMH or anti-Mullerian hormone. I am uncertain if you and your partner have undergone any of these therapies or tests that I have mentioned, but based on the information given here these would be reasonable options to pursue.