Do you have babies on the brain? 

Unfortunately wanting one, and having one, don't always go hand in hand. 

Take it from Tamika Luciano who lost both of her fallopian tubes while trying to get pregnant. 

"I had no way to get my eggs, which were A, to my uterus which was C," she told Local 10's Sasha Andrade. 

Dr. Marcelo Barrionuevo is her OBGYN, and one of the top fertility specialists in South Florida. He says pregnancy complications are as different as the many women who walk into his office.  Some people have cancer, some have an oddly shaped uterus, but by far the number one issue with fertility according to Barrionuevo is that dreaded biological clock. 

"The biggest challenge is a woman's age. It's important to make sure that we are not wasting any time," said Barrionuevo.

Let's say you're in your 30s or 40s and are having trouble ovulating.  Step one is taking oral or injected medication to force ovulation, something like Clomid. 

"If we do that for two to three months and things are not working then it's time to meet again," said Barrionuevo.  "Step 2 might be to introduce a treatment called insemination which is putting sperm inside the patient's uterus." 

Tamika Luciano opted for step three which is In Vitro fertilization. 

"Taking sperm and eggs together and putting them in a petri dish, maybe putting one sperm inside each of the eggs, but that's when science and technology stop," said Barrionuevo.

It worked for Luciana who was desperate to become a mother.  

"We came in for the ultrasound and saw two heartbeats," she said. "It was amazing.  Every day you're like oh my God."

But once you get pregnant there's a big chance you will not stay pregnant for very long. 

"Everything went downhill after the first trimester," said Luciano. 

Tune in to Local 10 News on Wednesady at 6:30 a.m. to find out more about the long hard road of miscarriage, recovery and what that means for having future children.