We understand the deep longing of your hearts, Manoj and Puniama, for a child. We stand with you in prayer and trust that God hears your cries and sees your tears. We rejoice that you have faith in Jesus' name. No other name by which we can be saved and it is good and right that you claim that name and use it in your prayers. It is by the name of Jesus that we can testify and call upon to fulfill our petitions.
In the Bible, we see that children are a heritage from the Lord, and the fruit of the womb is his reward. As it is written in Psalm 127:3 WEB: "Behold, children are a heritage of Yahweh. The fruit of the womb is his reward." We serve a God who is able to open wombs, as he did for Sarah (Genesis 18:14), Hannah (1 Samuel 1:19-20), and Elizabeth (Luke 1:36-37).
Your reason for visiting a doctor is good, but do not go in the way the world does. Go with prayer and supplication asking the Lord to guide them and give them wisdom. We do not know the disease you speak of, but know that God is bigger. The disease may require further treatment but the goal is to have children. So pray for healing, that God would lead you to a man of God, who will be able to give you medical answers and help you have children. Trust in the good doctor, but more in God. This is because the Lord says in Jeremiah 17:14 WEB "Heal me, O Yahweh, and I shall be healed. Save me, and I shall be saved: for you are my praise." We serve a God who can heal every disease, as shown in Psalm 103:3 WEB "who forgives all your sins; who heals all your diseases". Therefore, nothing is too hard for Jesus Christ.
When you want to make God your answer, you must pray in Jesus Name, but also have faith that God will answer. This is because Jesus says in Mark 11:24 WEB "Therefore I tell you, all things whatever you pray and ask for, believe that you have received them, and you shall have them." This is why you must be truly believing in Jesus believing in Jesus in all his name signifies. Jesus Christ gave the ultimate sacrifice in love, to have life, eternal life and the only name by which we can be saved. For by obeying he became the source of eternal salvation for all who obey him
Let us pray:
"Heavenly Father, we come before you in Jesus Christ' name, lifting up Manoj and Puniama. We ask that you bless them because they believe in you. Bless their desire for having a child. They have faith that you will give them another child. We pray and believe that this will happen. They have suffered greatly, suffered and waited for five years. Thus when your word asks us to do something and test our faith, remember this situation. Console them in all our name signifies. Protect them from the world and their taunts. As they fully believed you would answer and act, we ask that you would give more faith to them. We praise you in advance as they have for the blessings we believe you will give them in Jesus Christ's name." Amen."
We encourage you, Puniama, to be filled with hope and trust in the Lord. Look at women like Hannah, in 1st Samuel. The Lord will answer your crying out and give you a baby just like he did for her and be consoled by Jesus. Your current suffering is difficult and we know that, but you have been reborn through Jesus Christ suffering. It is because of this that you have been elected. So know that when other people sin by trying to make you break the Lord will strengthen you. Manoj, Love your wife, like Christ loved the church and gave himself up for her. Pray with and over her as the spiritual head of the house. Remain strong and faithful, trusting in God's perfect timing and will.
Remember that God has a plan for your life. So be devoted to serving the Lord, while you wait on the Lord. Continue to live in a way that is pleasing to him, for the Lord rewards all that diligently seek him.
We encourage you both who have given your lives to Jesus to share Jesus with others. When they have said something wrong or told you to do differently, instead trust in Jesus and obey him. Remember that he wants you to reach out to the unreached and he will give us more blessings then we ask. So always be praying to the lord.
Let's lift up Valaunar for success in their studies. "Trust in the Lord with all your heart and lean not on your own understanding" (Prov 3:5). Praying for good marks and understanding! In Jesus' name! 
