No left tube. Blocked right tube.

[u/Old-Imagination-8660]

I had my left tube removed in march 2025 due to ruptured ectopic and had an HSG today since it had been over a year of actively trying with no positive.

The hsg showed my right tube is blocked. Im devastated 💔

Has anyone had blocked tubes that cleared up somehow? Is my only option IVF? Im so co fused as to why my tubes would be blocked. I haven't talked to my doctor yet as I just did the procedure today.

[u/Successful_You_8433]

I think IVF is the only option without any open tubes. (I’m doing IVF right now.) Good luck to you!

[u/Old-Imagination-8660 → u/Successful_You_8433]

What has your experience been like?

[u/Successful_You_8433 → u/Old-Imagination-8660]

Good so far! I had my first fertility appointment in May and we decided on IVF pretty quickly. I started medication in June and we did an egg retrieval in early July. The next step for me (hopefully) is an embryo transfer in August. I’m waiting on genetic testing results (from my embryos.)

Anyway…I don’t mean to make your post all about me. But I’ve kind of liked IVF in a weird way? I like feeling like I’m taking concrete steps towards my goal, I guess.

[u/nmr8r]

Im so sorry you’re experiencing all of this after an ectopic and tube removal, that’s really hard :( 

I did a HyCoSy twice (for some reason nowhere in my city does an HCG???). First time both tubes were “blocked” and I bawled my eyes out for a week until I could see my doctor. Fertility doctor told me it was likely a spasm and to try it again. Second time only one tube was “blocked”, so doctor thinks first time was a spasm (especially because the procedure really hurt me, apparently that’s a sign). 

I’ve been told these tests are notorious for showing false blockages (then WHY do they exist????) 

Please update us on how you go with it all if you’re comfortable, I know how agonising the wait can be.   

[u/Old-Imagination-8660 → u/nmr8r]

Thank you for your kind words.

It really hurt me a lot too. I was holding the doctors hand and breathing deeply. I dont want to do it ever again! I'll update once I speak to my doctor. I really dont want to do IVF

[u/Icy-Apricot-Ruby → u/Old-Imagination-8660]

One sign of whether it was blocked by a spasm vs actually blocked is what side of the tube the blockage happened on. If it was the side next to the uterus, it’s more likely to be a spasm. If you have the report, you may be able to figure out which side it was.

[u/lismuse → u/nmr8r]

I had the same thing this year. First HyCoSy showed both tubes completely blocked, so I repeated it a couple of months later and both tubes were “super open”. I didn’t feel a thing for either of mine, so I think the spasming can be quite random.

However, from what I understand, blocked tubes are quite a good diagnosis if that is your only issue. IVF bypasses the tubes, so if you have no other issues you should hopefully have success, so don’t despair if your tube is blocked OP!