That small fibroid on your TVS scan measures only 4 to 5 mm. The rest of your uterus and ovaries look normal. It's unlikely to be why you haven't conceived yet. With a good
AMH and your
thyroid already being treated, unexplained difficulty conceiving after trying this long usually means checking what this scan can't show.
Next Steps
Ask your gynaecologist about a hysterosalpingogram to check your fallopian tubes, a semen analysis for your partner if it hasn't been done yet, and whether your current
thyroid levels are well controlled.
Health Tips
If those come back normal too, your gynaecologist may suggest ovulation tracking or IUI next, especially given your age.