I have been ttcfor about 20 months now. i have had a mc & an ep. i started clomid (clomiphene) and then femara, but i haven't gotten pregnant in a year. next step?

TTC 20mo w Rx: The ttc of 20 mo is long but you indicate a miscarriage and ectopic pg. Now the stim meds do not work. You need a complete evaluation which looks at sperm (sa), tubes (hsg/sis), egg quality (fsh, amh, afc) because you may have other problems. Get tests not done. You may need IUI with meds or ivf. Your age is important too. See your fertility specialist.

TTC 20 months: With a prior ectopic pregnancy, the chance of another can be 25%. Please check the fallopian tubes, semen analysis and consider uterine evaluation with ultrasound or saline sonogram. Depending on findings and your age, either ovulation induction and insemination or ivf will be suggested.