Hello and thanks for the query, Since you have already attempted pregnancy for 5 years, I assume that husbands semen analysis has been done and is normal. I also assume that endometritis and endometrial tuberculosis have been ruled out by histopathology and culture tests after laproscopy. If this has not been done, it needs to be ruled out as if a tube is blocked there was most likely a tubal infection sometime and a concomitant endometrial pathology may be present. If the above reports are normal then you may go for a ovulation study and if the ovary on side of the open tube is ovulating, get an Intrauterine insemination [IUI] in that cycle. Sometimes there is problem with ascent of sperm inside the cervix to the tube, so IUI helps in such cases. If there is still no luck either a tuboplasty procedure to open the blocked tube may be done. Hope this helped. Best of luck and I am sure you will conceive. A few more efforts and a positive attitude will help. Thanks for using HCM, have a good day. Dr Madhuri Bagde Consultant obstetrics and gynecology.