<s>[INST] hey i am 38 years old. my tubes are blocked and i mean both, i dont want surgery to be done to me. I am 250 pounds and i am wondering if the weight has anything to do with my tubes being closed. i just had a baby 2009, and want to have another one but my doctor keeps telling my i cant unless i take a surgery p.s i know its too much information but i really could use your helpthanx [/INST] Hello, Thanks for your query. There is no relation between tubal block and obesity. Tubal blockage could be due to adhesions because of pelvic inflammatory disease or previous surgeries. For RECANALIZATION, you should undergo surgery. Laparoscopic recanalization could be risky because of your weight. All the best. Hope you get pregnant fast. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. Wish you good health.  Chat Doctor.  </s>