Are my Tubes Blocked or not? The Million Dollar Question.

I finally had the appointment with my RE regarding my HSG results this morning since none of the dye went through my right fallopian tube during the procedure. I arrived at the office thinking it was just going to be a consultation, but to my surprise they wanted to do an ultrasound to check on the cyst also. I mean why the heck not. The wand and I are tight. Plus we can code the whole appointment to the insurance covered condition of cyst! However, what I really love is how the medical assistant instructs me on what to do as if this is my first time rather than my 20th: "undress from the waist down, here is a flimsy sheet to cover yourself with, are you allergic to latex?". Anyhow, I digress...

My RE came in, we did the ultrasound, and it seems that the cyst has resolved. Then I dressed and we had the consultation. He confirmed that my uterine cavity and left tube appear normal based on the left HSG. The question is really why the dye did not go through the left tube. He said that this is usually due to one of two things: (1) a spasm during the HSG procedure or (2) a blocked tube. He suspects that it is #1, because the most common cause of tube blockage is a chlamydia infection, and I've never had the clap. He said that endometriosis can cause blocked tubes, but that it is very rare and laproscopy is the only way to diagnose it. So since infertility treatments are really an odds game, we're going to bet that the cause is #1, spasm, and continue to focus on getting me to ovulate without forming cysts. He mentioned that I could do another HSG, but we didn't really feel that it would be money well spent at this point in time.

As I'm expecting my next cycle to start around Christmas, it sounds like Santa will be bringing me a letrozole/IUI cycle. What fun!