<human>: Hi i have completed four years of my married life but not yet conceived.i am 32 yrs old.last yr in Feb i was operated for tubal blockage .went  for 3 cycles of  iui  after  that but not yet conceived .is there  any chance my tubes have again blocked . Can i know the same without going for HSG  test or laproscopy as these are painful processes
<bot>: Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) Tubes can undergo blockage again due to fibrosis.2) I think considering your blocked tubal history and age, I suggest you go for IVF as soon as possible.3) If you still wish to try GUI, please get HSG test done to check tubal patency status. I hope I answered your query. Write back to me if you need more clarifications.