Conversation: The conversation between human and AI assistant.
[|Human|] HI my sister is 35 years old she conceived in the year 2006 june with twins but had mis carriage. it was then found that she has thhyroid.. and since then she is unable to conceive also she did try for IVF once but it did not work. all her reports ar fine wth no problems.. would she be able to conceive.. coz she not having any issue is putting her mentally vrey low. kindly suggest
[|AI|]  HI, I understand your concern, - Your sister is now around 44-45 years of age. If she wants to conceive now, she has to get her thyroid problem under controlled by proper medication under an endocrinologists care.  - She has to ascertain her ovulation status by ovulation study & also her husbands' semen analysis to confirm sufficient/ normal counts, sperm. She can go for GUI if every thing is normal.  - If sperms or ovulation is at fault (because of age). She can try sperm donation & GUI / arrogation (using some other women uterus & husbands sperms.(GUI)/ Test tube baby. Under fertility specialist doctors advise & guidance/ care.  - If nothing helps. She can go for adoption. Which is the noblest way to help humanity!  Thanks.