What is the cause of infertility?

Patient

Q: Am 30 years old and my husband is 33 years old, have been married 3 and 1/2 years ago, iam obese my height is 162 and weight 98 kg, at the beginning i did many lab tests including tsh t3 t4 fsh lh prolactin and progesterone all were normal except tsh it was high and progesterone was one time normal and the other low and diagnosed as primary hypothyridism and took l thyroxine 100mg since then every thing turned back to normal i had hystersalpingography which is normal my husbands semen analysis is normal t took 5 rounds of clomid and then femara but still not pregnant, what might be the cause? is it only obesity? am currently on l thyroxine 100mg and cidophage 500 mg twice daily
thanks in advance

Doctor

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