I find that a simple step to take when you are having trouble getting pregnant is this questionaire
from the book "The infertility cure" by Randine Lewis
check mark the complaints you have
Kidney Yin deficiency
__Do you have lower back weakness, soreness or pain?
__Do you have knee problems?
__Ringing in the ears or dizziness?
__premature grey hair?
__Is your midcycle fertile cervical mucus scanty or missing
__Do you have dark circles around or under your eyes?
__Do you have night sweats?
__Are you afraid a lot?
__Does your tongue lack coating? Does it appear shiny or peeled?
Kidney Yang Deficiency
__Do you have lower back pain premenstrually?
__Is your low back sore or weak
__Are your feet cold especially at night?
__Are you typically colder than those around you?
__Is your libido low?
__Are you often fearful?
__Do you wake up at night or early in the morning because you have to urinate?
__Do you urinate frequently or is the urine diluted and or profuse?
__Do you have early morning loose, urgent stools?
__Do you have profuse vaginal discharge?
__Does your menstrual blood tend to be dull in color?
__Do you feel cold cramps during your period that respond to a heating pad?
__Is your tongue pale, moist or swollen?
Spleen Qi deficiency
__Are you often fatigued?
__Do you have a poor appetite?
__Is your energy low after a meal?
__Do you feel bloated after eating?
__Do you crave sweets?
__Do you have loose stools, abdominal pain or digestive problems?
__Are your hands and feet cold?
__Is your nose cold?
__Are you prone to feeling heavy or sluggish?
__Prone to grogginess in the head?
__Do you bruise easily?
__Do you think you have poor circulation?
__Do you have varicose veins?
__Are you lacking strength in the arms and legs?
__Are you lacking in exercise?
__Are you prone to worry?
__Have you been diagnosed with low blood pressure?
__Do you sweat a lot with out exerting yourself?
__Is your menstruation thin, watery, profuse or pinkish color?
__Are you more tired around menstruation or ovulation?
__Do you ever spot a few days before your period comes?
__Have you ever been diagnosed with uterine prolapse?
__Are your menstruation cramps accompanied by a bearing down sensation in your uterus?
__Are you often sick or do you have allergies?
__Have you been diagnosed with hypothyroid or anemia?
__Do you have hemorrhoids or polyps?
__Does your tongue look swollen with teeth marks on the sides?
__Do you have a pale, yellowish complexion
__Are your menses scanty or late?
__Do you have dry, flaky skin?
__Chapped lips a lot?
__Are your finger or toenails brittle?
__Are you losing hair on your head (not in patches but all over)
__Is your hair brittle or dry?
__Do you have diminished nighttime vision?
__Do you get dizzy or lightheaded around your period?
__Are your lips, the inner side of your lower eyelid, or your tongue, pale in color?
__Do you feel midcycle pain around your ovaries?
__Do you have painful, unmovable breast lumps?
__Do you experience periodic numbness of the hands and feet (especially at night)
__Do you have varicose or spider veins?
__Do you have red hemangiomas ( cherry red spots) on your skin?
__Do you have chronic hemorrhoids?
__Does your menstrual blood contain clots?
__Have you been diagnosed with endometriosis or fibroids?
__Is your lower abdomen tender to palpation (resisting touch)?
__Can you feel any abnormal lumps in your lower abdomen?
__Do you have piercing or stabbing menstual cramps?
__Does your tongue look dark?
__Do you have dark spots on your tongue?
__Are the veins under your tongue twisty and tortuous?
__Do you have dark spots in your eyes?
__Have you been diagnosed with any blood clotting disorder or vascular abnormality?
Liver qi stagnation
__Are you prone to emotional depression?
__Are you prone to anger and or rage?
__Do you become irritable premenstually?
__Do you feel bloated or irritable around ovulation?
__Does it feel as if your ovulation lasts longer than it should?
__Are your breasts sensitive/sore at ovulation?
__Do you experience nipple pain or discharge from your nipples?
__Do you have a lot of premenstual breast distention or pain?
__Do you become bloated premenstually?
__Are your pupils usually dilated and large?
__Do you have difficulty falling asleep at night?
__Do you experience heart burn or wake up with a bitter taste in your mouth?
__Are your menses painful?
__Do you feel your menstual cramps in the external genital area?
__Is the menstual blood thick or dark or purple in color?
__Do you wake up in the early morning and have trouble going back to sleep?
__Do you have heart palpitations especially when anxious?
__Do you have nightmares?
__Do you seem lacking in vitality or low in spirit?
__Are you prone agitation or extreme restlessness?
__Do you fidget??
__Is the tip of your tongue red
__Is there a crack in the center of your tongue that extends to the center?
__Do you sweat excessively especially on your chest?
__Is your pulse rapid?
__Are your mouth and throat usually dry?
__Are you thirsty for cold drinks most of the time?
__Do you feel warmer than those around you?
__Do you wake up sweating or have hot flashes?
__Do you break out with red acne especially premenstually?
__Do you have a short menstrual cycle?
__Do you have vaginal irritation or rashes?
__Do you feel tired and sluggish after a meal?
__Do you have fibrocystic breasts?
__Do you have cystic or pustular acne?
__Do you have urgent, bright or foul smelling stools?
__Does your menstual blood contain mucous?
__Are you prone to yeast infections or vaginal itching?
__Do your joints ache, especially with movement?
__Are you overweight?
__Do you have a wet slimy tongue?
__Do you have signs of heat and dampness from the above questions?
__Do you have yellow or foul smelling vaginal discharge?
__Are you prone to vaginal and or rectal itching during your luteal (or premenstrual) phase?
__ Do you fit the kidney yang deficiency category?
__Do you fall into the blood stasis pattern?
__Does your lower abdomen feel cooler to the touch than the rest of your abdomen?