Definitely straight to IVF and perhaps I'd seek an opinion on removing your tubes or clamping them as sometimes when a pregnancy occurs the liquid inside them can release which is toxic to the fetus and causes m/c. I only have 1 tube left due to ectopic and suspect my 2nd is blocked (I've been having a lot of pain in my tube side and they suspect it might be hydrosalphinx) if this is the case the tube will be removed and we may consider IVF down the track (I've already got children although would like 1 more) Often