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

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