Hello. My wife and I are trying to have another child. For the past 2 years we have been unsuccessful. She has had 6 pregnancies in the past, 4 successful ones. However, she has always had major problems with preterm labor. Our last 2 children, she has had a cerclage and carried close to full term despite continued preterm labor and hospitalizations even with the cerclage. The last pregnancy though, her last preterm labor episode, the cerclage began tearing her cervix, and was cut to prevent further tearing and she was far along enough for a healthy birth (35 weeks).

Since then, we have been unable to conceive again. 2 issues we are aware of. She has always had a retroverted uterous, which may be even more retroverted now (recently by procedure called severely retroverted), and there is narrowing of her cervix, probably due to scar tissue from the tearing cerclage. Are these the likely causes of our sudden infertility? Nothing else has been found, ie cysts etc. She will be 35 in may, been trying since last pregnancy 2 years ago.

Thanks for any advice, or reccommendations on where to get advice.