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

### input:
HELLO DOCTOR.....I HAVE BEEN PLANNING TO CONCEIVE FROM THE LAST 6 MONTHS AND CONSULTING A GYNACOLOGIST IN THIS MATTER, I HAVE DONE ULTRASONOGRAPHY AND FOLLICULAR TESTS ALSO ALONG WITH BLOOD SUGAR,TSH,BLOOD COUNT ETC.ALL MY REPORTS ARE NORMAL AND ALSO MY HUSBAND S SPERM TEST IS NORMAL,I AM STILL NOT ABLE TO CONCEIVE AND THE DOCTOR HAS ADVICED ME FOR HSG TEST. I AM VERY SCARED ABOUT THE TEST AS I WENT THROUGH THE BEGINNING OF THE PROCEDURE AND FOUND IT VERY PAINFUL AND COULD NOT CONTINUE, CAN IT BE DONE WITH ANASTHESIA? PLEASE SUGGEST ME. I AM ALSO WORRIED AS I DOUBT IF ANYTHING IS WRONG WITH THE FALLOPIAN TUBES?I ALWAYS HAD REGULAR PERIODS AND NEVER ANY OTHER PROBLEM BUT THIS PROBLEM IN CONCEIVING AND IF AT ALL I HAVE TO GO FOR IVF IS MAKING ME TENSE.

### output:

Hi I understand your concern. Your case is indicating that you might be suffering from unexplained infertility. I agree HSG is a bit painful test. Ya it can be tried in short sedation which is a kind of anesthesia, you would be able to tolerate it better. From your history tubal block is unlikely. I just wanna to confirm how many times you have taken ovulation induction. Have you tried timed intercourse. I do not think you should straight away jump to IVF.if you are not comfortable with HSG you can go for diagnostic laparoscopy and hysteroscopy with chromopertubation this is a day care procedure where your tubes can be very well checked for their patency. I hope I am able to solve your query, you can revert to me with the confirmations of history I asked from you.