 Hysterosalpingography HSG remains one of the most reliable methods to study tubal patency and the uterine cavity 1-3. The relative indications and importance of HSG and laparoscopy in the diagnosis of tubal factor infertility have been extensively discussed. Recently a multicenter randomized controlled trial 4 has demonstrated that the routine use of HSG at an early stage of infertility work up, prior to laparoscopy and dye, does not influence the cumulative pregnancy rate compared with the routine use of laparoscopy and dye alone. However, HSG is an efficient method which is less invasive and less costly than laparoscopy 5, and than transvaginal hydrolaparoscopy 6. The main disadvantages of HSG are being unable to confirm adhesions, endometriosis and being a painful procedure 7,8. Different cannulas and catheters have been tried to reduce pain such as the Rubin cannula 9, Jorcho cannula 10, and Whitehead cannula or Foley catheter 11. Minimal difference in the degree of pain was found when the balloon catheter was compared with the cervical cup 12. General and local medications have been tried to alleviate pain during the procedure. 3,13. 