What is Fallopian Tube(s)?
Fallopian tubes (commonly called “the tubes�) are the structures that are connected to the both sides of the uterus. Inside the tube, the sperms and the egg meet (“fertilization�) to form the embryo.

How the tubes are tested?
1. Hystero-salpingogram (HSG)- by a special X-ray, using a contrast material.

2. Saline Infusion Sonography (SIS) or Sonosalpingography (SSG)- water is inserted under ultrasound guidance- more accurate, causes less discomfort.

What are my options if tubes are found to be blocked in HSG?
You still can consider SIS as a second test to check tubal patency. However, if SIS also shows the “block�, then there are simply two options. You can consider laparoscopy or go for IVF straightforward.

When Laparoscopy is advised?
If you are at younger age, other fertility factors normal and the infertility is of shorter duration, laparoscopy may be the suitable approach for you. If laparoscopy confirms the patency of the tube(s), you can try for pregnancy naturally. Sometimes, attempt can be made to remove the block by laparoscopy.

When should I go for IVF?
If the conditions of your ovaries or partner’s sperms are not satisfactory, your age is on the higher side, or infertility is of long duration, directly going for IVF would be the better option for you. If tubes are found blocked in laparoscopy, you need IVF. Again, if you fail to conceive within 6-12 months’ time after laparoscopy, even when the tubes were found open, you may need to consider IVF.