For the purpose of restoring the uterine tubes patency, an anti-inflammatory therapy course and a gynecological massage performed by an experienced gynecologist may be used, but generally these methods don’t guarantee the restoration of the tubes’ patency. A uterine tube is not just a tube (which may be obstructed or patent), it also should function, that is why, in case the tube is stretched with commissura, then, even if salpingography shows that it is patent, it may not fulfill its functions. Tubectomy is not always indicated before IVF, as this surgery postpones the IVF procedure for 3 to 6 more months, that is why it is decided upon by the fertility specialist who is going to perform the IVF procedure. In your case, IVF will be the best option. Don’t be daunted by the word “IVF” – as your child will have your genes and the genes of your husband, the pregnancy will be in its normal course, and it is by no means contraindicative for you to deliver the child yourself, unless you have contraindications.