<s>[INST] I have been through 4 IVF cycles. This last one I responded well and produced quality eggs; however, the embryos failed to implant. My Dr. is now advicing that I remove my tubes but I have concerns about this procedure becasue there are no hydros. Do you think the blocked tubes are causing the implantation problems? Should I have them removed? [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1] Usually IVF experts advise to remove fallopian tubes if they are swollen and contain infected fluid- condition called Hydrosalpinx.2] if your tubes are blocked from the end near uterus and you do not have hydrosalpinx then I will not suggest you to remove your tubes.3] rather I will suggest you to undergo  HYSTEROSCOPY- visualization of uterine cavity, to find out if there is any cause that is troubling with implantation of embryos.4] I will also suggest- to indulge in a healthy diet and regular exercise regime.Please avoid deep fried foods, bakery products and refined sugars.I hope my answer helps you.Thanks.Wish you good health. </s>