I go to one of the leading clinics in my area , if not THE leading clinic in my province . This is completely the opposite of my experience . To get a full picture of a new patient they test everything , and HSG is routine . For me , it found a blocked tubed that had to be cleared before we could proceed with anything . Not finding that would have made the proposed treatment plan irrelevant . I know you mentioned this is the only clinic you have coverage for . But it may be worth paying OOP for a second opinion , just to gauge what might be missing from the picture . In my IF journey I have learned one thing more than anything go with your gut . If you have that nagging , intuitive feeling about something that directly concerns your body , investigate that .