Unblocked Tubes Can Still be Blocked

Yesterday I had my HSG. The good news? My tube (yes, that’s singular and not a typo) is not blocked! The dye ran freely through it and each of the five other people in the room were happy to see that (yes, you read right, there were five other people in the room with me, not a typo). BUT, that doesn’t mean my tube’s not blocked from the outside.


Yeah, me too.

For anyone who wants to know what the procedure was like, maybe you’re about to have the same thing done, well here ya go:

Dr. C (looking adorable in a pink and yellow Hawaiian printed x-ray vest, mind you) had a difficult time getting to my cervix. Just like Dr. B did, except instead of six minutes of fiddling around down there, it took him about a minute. He said my cervix is pushed waaaay to the left and is pointed toward my left hip. My uterus is also tilted thirty degrees to the left. Basically, everything is either on or pointing to the left. Anyway, he inserted the catheter and I both felt and saw the dye traveling through on the screen at the same time; freaky. It hurt like whaaaaa when he put in the speculum and catheter and I really wished that they would numb you first. I felt immediate cramping when the dye was injected. (Oh, and for the record, the remaining four people in the room were the radiographer, radiographer assistant, random required hospital female to make sure no one does anything naughty, and a med school student.) We watched the dye travel across the screen, lighting up as it went, and flow through the tube and, from there, into wherever it goes next. They took x-ray images by lowering the x-ray machine over my lower abdomen and, that was it—done! The whole thing took less than ten minutes. I was handed a pad and instructed to change into my regular clothes. I had some spotting and clotting yesterday and today, and am generally pretty sore from the speculum, but otherwise feel fine.

I asked Dr. C why I’ve been experiencing years of infertility if my tube is unblocked, I’m ovulating normally, have a standard cycle length, and am making and releasing follies. He replied that even though my tube is open from the inside, it could still be blocked from the outside with endometriosis adhesions and/or scar tissue.


I’m no doctor, but if it were blocked on the outside from adhesions, then wouldn’t the dye have not been able to flow through? He tried to explain it to me in terms of picturing a baseball glove catching and releasing a ball, but I was totally lost and didn’t (don’t) really understand the analogy since I was feeling out of sorts.

Overall though, Dr. C was very kind, compassionate, upbeat, and cool about everything. He told me to schedule an IVF consult with him for the upcoming week. I haven’t scheduled the consult yet because I’m still kind of scared to commit to IVF, but I’m getting there. Slowly. I just want at least this one last month to try naturally. Or maybe get a prescription for a bottle of these:

fertility pill



Author: Marixsa

Resolving infertility as childless-not-by-choice and encouraging fellow endo warriors along the way.

5 thoughts on “Unblocked Tubes Can Still be Blocked”

  1. Uh the outside?! So confusing! But apperently if the endo is anywhere, like mine was behind my uterus… It can put off these toxins that make it hard for the egg to implant. You know they can fix just about anything else besides sperm count and endo with medicine. We just get stuck taking the IVF route. I don’t know about you, but I feel like I am going to go bankrupt before I even have a child 😦 ugh! Are you excited about IVF?


    1. Yes. I’ll call tomorrow and schedule the consult. I’m nervous about it, but will do what it takes, IVF or otherwise. I just never thought when I was younger that I’d ever have to do this. I think that’s what I’m coming to terms with.


      1. I agree… I was sitting in the Drs office today and was like wow I can’t believe I am sitting here… 😦 so crazy!


  2. So that is what my problem is. I only have 1 tube and 1 ovary from a rare ovarian cancer I had when I was 18. The tumor had ruptured my right ovary the morning of my surgery. Fortunately, I was told that I would still be able to have kids and ovulate on my own with my 1 remaining ovary and tube. And I ovulate on my own every month, but am still infertile. In November, I had a laparoscopic surgery done and sure enough, there was adhesion and scar tissue on the outside, making my tube inaccessible to do it’s job. To try to paint a different picture, my tube was attached by scar tissue to my uterus. It was no where near my ovary, where it needs to be to get the egg when it’s released. So, it’s blocked from the outside. Although they were able to remove quite a bit of the scar tissue and get things relatively back into place, they weren’t able to get my tube where it’s supposed to be, keeping me infertile. The only way I can conceive is through IVF. I hope that helps make some sense….

    Liked by 1 person

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