As per your chart, there could be just a minor delay in having children which is quite nominal. This could be due to health reasons such as hormonal imbalance, excessive heat in the body etc.
There are good chances that you could conceive and get this happy news after April 2023 within an year or so. You can practice meditation and yoga to relieve any existing stressful conditions.
You also need to take medical advise on the diet regimen which you should be following. These are bound to give positive results. It is advisable to consult a medical specialist in this regard.
Mithuna lagna with the lagna lord Mercury posited in the eleventh house in conjunction with an exalted Sun and Jupiter giving full aspect to the fifth house, with Moon posited in the fifth house and fifth lord Venus posited in the twelfth house.
Jupiter transits to its natal sign of Mesha in April 2023 and will have its full aspect on the natal Moon sign and the fifth house.