Lidocaine Prilocaine Spray in Reducing Pain During Hysterosalpingography in Women With Primary Infertility

Inclusion Criteria: * Women aged 18-45 years. Diagnosed with primary infertility (no prior pregnancy after at least 12 months of unprotected intercourse) and scheduled for HSG as part of infertility evaluation. Exclusion Criteria: * Known allergy or hypersensitivity to lidocaine, prilocaine, or any components of the spray. * Current pregnancy or suspicion of pregnancy. * Active pelvic inflammatory disease or history of severe pelvic infections within the last 6 months. * Use of systemic analgesics, sedatives, or anesthetics within 24 hours prior to the procedure.