Reddit reviews In Vitro Fertilization: The A.R.T. of Making Babies

Hi. I'm so sorry to hear about your two blocked tubes, but well done on you and your OBGYN for having the tests done early! Having a diagnosis is a very good thing.

Here's the major problem with your diagnosis: The surest way for you to get pregnant is IVF, with or without surgery to remove your blocked tubes (probably with). However, most insurance doesn't cover IVF. Insurance probably would cover surgery to open your tubes, but this is a technically difficult surgery with a mediocre success rate, your risk of ectopic will be higher than normal, and you won't know whether it worked until you've tried for several more months. The screwed up insurance system in the US sets up a lot of perverse incentives for couples with infertility, and this is just one of them. Dr. Sher writes briefly about this dilemma in his book.

Anyway, definitely visit an RE, as everyone else says, and if they recommend surgery to open your tubes, ask about their success rates. It may end up being a good choice for you.

Though my HSG showed no blockage, I eventually had both tubes removed due to subsequent infections (it's complicated). I had IVF in February and it appears to have been successful. It's been one of the most unpleasant ordeals of my entire life, but the end is in sight for me. I wish you the very best luck. Please keep up updated.