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    Every patient arrives at the fertility clinic with their own history and their own unique needs, but the vast majority of infertility cases are caused by a handful of common problems. Tubal-factor infertility, or a problem with a woman’s fallopian tubes, is one of the most common.

    Between 25 to 35 percent of female infertility is caused by tubal factors, according to The American Society for Reproductive Medicine (ASRM).

    Scar tissue or adhesions from previous pelvic infections, surgery, endometriosis or hydrosalpinx can block eggs from traveling freely through the fallopian tubes, making it very difficult or impossible to get pregnant.

    If your doctor suspects that a blockage in your fallopian tubes could be a factor in your case, they may recommend that you undergo a test called a hysterosalpingogram, or HSG.

    An HSG test is also sometimes used for women who have suffered repeated pregnancy loss: it may be able to show structural problems in the uterus or issues such as polyps or fibroids that could make it difficult to carry a baby to term.

    What is a hysterosalpingog

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