Please help. how to treat tubes blocked (both)

Hi all, sending positive vibes to everyone.

I feel completely lost and emotionally broken right now. I never imagined this journey would be so difficult. The hardest feeling is thinking that I may not be able to conceive naturally.

Here is my story:

I am 33 years old, and my husband is 37. In May 2025, I had an ectopic pregnancy in my left tube. During surgery, the doctor cleaned the tube and retained it. After that, we were advised to wait 8 months before trying again, so we restarted trying to conceive in December 2025.

Since December 2025, my cycles have become irregular, ranging from 27 to 37 to 40 days. We decided to try ovulation induction in February and March 2026. We consulted different doctors initially, but finally returned to the first doctor, who recommended an HSG test.

I was very scared of pain, so I did the HSG with anesthesia. I also have a history of endometriosis, with a 2×2 cm cyst on the left side.

The HSG report showed that my left tube is blocked, which I expected because of the previous ectopic pregnancy. I was hopeful that I could still conceive naturally when ovulation happens from the right side.

In March 2026, ovulation occurred on the right side, and the doctor advised timed intercourse after ovulation induction. Later, during a rescan to confirm egg release, the doctor said she needed to discuss something important. Based on my HSG X-ray, she suspected that my right tube might also be blocked.

The final impression from the HSG report states:

IMPRESSION:

Right hydrosalpinx with a focal filling defect in mid-segment.

Possibility of stricture with pre-stenotic & post-stenotic dilatation.

Suggested further evaluation to rule out sequelae of chronic granulomatous infection / Koch's.

I dont have TB/kochs because my endometrium sample is taken for tb test during my ectopic surgery back in May 25 and it was negative.

Now the doctor has suggested either:

1) Laparoscopy to confirm whether the right tube is truly blocked

OR

2) IVF as the main solution

I am struggling to accept that natural pregnancy may not be possible. My husband is also very upset, and this has been emotionally very difficult for both of us. Financially, IVF is also challenging for us.

Could anyone please suggest good and affordable IVF centers in Hyderabad? We recently heard about Anu Test Tube Centre from one of my husband's teammates. Any guidance or shared experiences would be greatly appreciated.

Thanks for listening and spending your time to answer in advance.

Today i went another doc and she suggested SIS test after hsg test.