Hello and welcome to HCM,
I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries.
I understand your query. It seems that the first time a tubal recanalisation surgery was attempted but the tubes remained blocked and remained blocked despite a second recanalisation procedure. Hence an IVF was suggested. Pregnancy
will not occur if the tubes are blocked. They need to be opened if possible or an IVF will be needed.
A third procedure for opening the tubes will most likely fail as this is delicate surgery and once adhesions are formed, chances of a successful recanalisation are very low.
So it is better to opt for IVF if pregnancy is desired.
Hope this helped.
Thanks for using HCM.
Have a good day.
Dr Nilajkumar Bagde
Consultant Obstetrics and Gynecology