Objective:To evaluate the complications and spontaneous conception rate after Hystero-contrast sono-salpingography technique for tubal patency test.Methods:Telephonic survey was conductedfrom 2018 to 2022 at noble diagnostic centre Anantnag, Kashmir. 500 patients who have undergone Hystero-contrast-sonosalpingographywere surveyed telephonically at different times from date of examination, data regarding procedure tolerability and conception rate were recorded.Results:Procedure is well tolerated with average pain score of 1.3±0.7. Fertility rate was increased, 24% of patients conceived within first three months of procedure.Conclusion: Our study suggests that HyCoSy is safe and well tolerated procedure with increased fertility rate, therefore HyCoSy should be included as first step in evaluation of female infertility.