HSG is a method based on the imaging of intrauterine structures and uterine tubes by x-ray film by giving a liquid dye through the cervix. Especially in women who want to have a child, it is determined whether their tubes are open or not. If the tubes are completely blocked, IVF remains the only option. IVF’s success rates are VERY HIGH and because of the high success rates many patients no longer choose treatment other than IVF, with the possibility of placing remaining embryos when the sibling is desired. Sometimes, the blockages in the tubes may be partial or unilateral, they should be opened laparoscopically or the source of the damage in the tubes should be investigated. In partial obstructions, if the chocolate cysts we call endometrioma were detected or not on ultrasound, we recommend that the obstructions be released by laparoscopy of the patient.