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What are the options if tubes are found blocked in HSG? You still can consider SSG (Sonosalpingography) as a second test to check tubal patency. However, if SSG also shows the “block”, then there are simply two options. You can consider laparoscopy or go for IVF straightforward. It depends on your age, other fertility factors (condition of the sperms and ovaries), duration of infertility and your wish. When and how Laparoscopy is done? If HSG or SSG show both the tubes are blocked, then the only