Please rest assured, many women with these challenges successfully conceive. Since you have one open tube, we can stimulate healthy egg development using oral medications like letrozole or clomiphene. Once your eggs mature, a simple procedure called Intrauterine Insemination (IUI) can help deliver sperm directly to the healthy side. Alternatively, In Vitro Fertilization (IVF) is a highly effective option; it completely bypasses the fallopian tubes by fertilizing the eggs in a lab and placing the embryo directly into your uterus. I highly recommend consulting a fertility specialist to discuss which path is best for you.