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As per the WHO estimates, prevalence of primary infertility in India is around 3.9% to 16.8%. This case aimed to critically analyse the association between tubal blockage and fibroid with infertility.This report discuss a case of primary infertility came to CNMCH.The patient was a 32 year old woman P0+0 married for 5 years with history of unprotected sexual intercourse with frequent and regular menstrual cycle with no significant past medical, surgical and family history.After detailed history and examination, blood workup , and various important test like semen analysis, ultrasonography,hysterosalpingography and after ruling out infection decision for diagnostic hysterolaparoscopy was taken which reveals bilateral tubal blockage, multiple fibroid and a ovarian cyst, distorted uterine cavity, bilateral ostia not visible.Patient was advised IVF and adoption option also given.Tubal factors accounts for 25 -35 % of infertility.Mechanism by which fibroid cause infertility is unknown,but may involve altered uterine contraction , impaired gamete transport or endometrial dysfunction.With proper evaluation and treatment majority of couple evaluated for infertility will achieve pregnancy,for those failing treatment IVF , gestational surrogate and adoption are realistic option.