Even without showing signs from the vaginal ultrasound, is there still a chance i could have blockage in my fallopian tubes? my husband and i have been try to conceive for 2 years and have yet to be successful. i have gotten my hormone checked, ovarian fu

Yes : Yes - there is a chance that your fallopian tubes are blocked even if the vaginal ultrasound is normal. Fallopian tubes are very small and delicate and are usually not seen by ultrasound. A hysterosalpingogram (hsg) is a test that can tell you if your fallopian tubes are blocked or not. It is a radiologic procedure in which radio-opaque material (or dye) is gently injected into the cervix and fluoroscopy (or x-ray) is used to watch the dye fill the uterine cavity and spill through the fallopian tubes. From your history, it sounds like a hsg is an appropriate next step in your fertility evaluation. This is a service we provide at our clinic. I hope this helps!

Vaginal : Vaginal ultrasound is the best test for looking at your ovaries, a good test to look for problems with the uterus such as fibroids, but a poor test for checking your fallopian tubes. Normal tubes and tubes blocked where they join the uterus don't show up on ultrasound. Some tubes that are blocked at the far end can be seen on ultrasound, especially if they are very enlarged and full of fluid (called a hydrosalpinx) but even these can be missed on ultrasound. The best test to check your tubes is a hysterosalpingogram (hsg) test where we inject x-ray contrast through your cervix and use real-time x-rays to see if your tubes are open, to check for scar tissue around the tubes, and to check the inside of your uterus for fibroids or polyps. I also recommend more detailed ovarian reserve testing for you, including an antimullerian hormone (amh) level. Your husband may need a repeat semen analysis - it is unusual, but not impossible to have a low morphology score with everything else about his sperm looking normal. I recommend seeing a reproductive endocrinologist at this point. Our website is below. Hope this helps. Best wishes.