Oral Hyoscine vs. Topical EMLA vs. Placebo for Pain Reduction During Hysterosalpingography

Inclusion Criteria: * Women undergoing HSG for infertility evaluation Regular cycles; procedure scheduled in proliferative phase (days 6-12) Negative urine pregnancy test on procedure day Exclusion Criteria: * Known hypersensitivity to hyoscine, lidocaine, prilocaine. Use of systemic analgesics, sedatives, or antispasmodics within 24 hrs pre-HSG Chronic pelvic pain or severe dysmenorrhea requiring regular analgesics Active pelvic infection, uterine anomaly, cervical stenosis requiring anesthesia History of contrast allergy Inability to cooperate with VAS reporting