primary infertility

A 24 yr lady came with complaint of primary infertility since 3 yr.have normal cycle, following investigation done.what could be reason.and how to approach this case..

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ESR elevated. Rule out Koch's. Give OC pills for a month for the treatment of ovarian cyst. Do a HSG. Based on the above reports, plan the treatment.

Thank you doctor
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In semen report ,there is plenty of pus cells,so first treatment for husband

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