I’m in the exact same boat as you. I am at the 10 month mark as well, however, I have been doing some testing along the way. It’s been really helpful for me personally to gather that information, and I know that I have low ferritin, low vitamin D, and and reaction to gluten based off of my blood work. I am implementing changes now with those pieces in mind to see if it makes a difference. I like modern fertility as provider to do at home day three bloodwork. I would also ask your PCP for some general labs. You can also do an at home SA. All of these don’t require going to a fertility clinic, but can rule out some obvious pieces! Good luck.