<s>[INST] hi, i m a lady aged 28 yrs, yesterday i go for an laparoscopy and hysteroscopy . Dr told me that i won t be able to conceive the only way for me to have a baby is through ivf cause my tubes are closed and there is nothing that he can do about it. Can you please help me with something to use just to open them again. Very desparated [/INST] Hello, As tubal blockage has been confirmed on laparoscopy, it is bilateral and if operative procedure tried to open the tubes have not succeeded, then as your doctor has suggested correctly, IVF is the only option for you to conceive. As you are 28 years old, if there is no other factor for infertility, if husbands semen analysis is within normal limits, then you have good chance of success with IVF considering your age. But, still, it can not be 100%. Hope this information is useful. Good luck. </s>