Inclusion Criteria:  English speaking premenopausal females age 18-45 patients currently undergoing HSG as part of routine work-up for infertility or subfertility, - - patients with negative urine pregnancy test within 24 hours of the scheduled procedure patients having performance of HCG between menstrual cycle days 5-12n  Exclusion Criteria:  Non-English speaking patients with history of previous HSG performed patients with contrast allergy or other contraindications to HSG patients with contraindications to NSAID use Patients with the following: unwilling to consent positive urine pregnancy test within 24 hours of the scheduled procedure active renal or hepatic disease chronic narcotic users use of pain medications within 12 hours of the scheduled procedure patients with chronic pain conditions (fibromyalgia, complex regional pain syndrome, etc.) patients with unknown uterine anatomical pathology