### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was just told by my dr tht my left Fallopian tube is mild- moderately dilated. Have been trying to concieve for a year n miscarried a year ago. I have a beautiful two yr old daughter so not conceiving again was a shock to me. Wht does this mean? My right tube had a spasm/ or blockage tht was cleared by hsg. Am I only ovulating on my left side? Do I need ivf? Will I b able to voncueve naturally?

### output:

HI THANKS FOR YOUR QUERY ON YOUR SG YOUR RT.TUBE HAD Spasmed/BLOCK THAT WAS CLEARED AND YOUR LT.TUBE IS DILATED COULD BE BECAUSE OF ENDOMETRIOSIS OR CHRONIC INFECTIONS BUT TO CONFIRM THE PATENCY OF THE TUBES AND TO RULE OUT OTHER PATHOLOGIES LIKE ENDOMETRIOSIS OR ANY ADHESIONS DUE TO CHRONIC PID WE NEED DIAGNOSTIC MYSTERY LAPAROSCOPY AND SIMULTANEOUSLY IF THE PATHOLOGY IS CORRECTABLE CAN BE DONE IN THE SAME SITTING.TUBAL PATHOLOGIES USUALLY DOES NOT AFFECT OVULATION .YOU MIGHT BE OVULATING ALTERNATELY FROM BOTH THE OVARIES FOR THAT WE NEED TRANSVAGINAL SCAN FROM DAY 9 ONWARDS OF CYCLE. I WOULD SUGGEST YOU SHOULD CONSULT AN INFERTILITY SPECIALIST AS SOON AS POSSIBLE TAKE CARE AND ALL THE BEST