Infertility is a disorder of reproductive system defined by the failure to obtain a clinical pregnancy following a period of 12 months or more regular unprotected sexual contact. Infertility is classified as either primary or secondary. Primary infertility is the absence of pregnancy for a couple who desires a child after 12 months or more of regular unprotected sexual intercourse, during which they have not taken any contraceptives. On the other hand secondary infertility is defined as the lack of a live birth for women who wish a child and have been in a union for at least five years since their last live birth, during which they did not use any contraceptive^.

For the diagnosis of the infertility, female genital tract anatomy is assessed by the radiographical imaging. Anatomy of female genital tract is essential component for the investigation of infertility. To evaluate the patency of the fallopian tubes, morphology of the uterus and cervix radiographical test i.e. Hysterosalphingography is used. Hysterosalpingo-contrast sonography   is a radiation free valuable method for the assessment of fallopian tube patency, uterine wall and cavity, overies and peritoneum. It was also observed that the level of anxiety in women awaiting HSG significantly higher compared to women awaiting mammography or abdominal ultrasonography. Women undergoing HSG experience stress before and during this examination. Infertility itself also cause prolonged stress and distress for the couple who involved.. So providing counselling and video information to the patients is an important step to reduce the anxiety of women and indirectly decrease the pain level. Guided imaginary during procedure help to reduce the pain of the patient during procedure. So the  nurse led intervention reduce the anxiety ,stress and pain of the women to some extent.

OBJECTIVES:-

To assess the  pre-interventional state of anxiety and stress for women undergoing Hysterosalpingography in Radiological Department, Nehru Hospital,PGIMER ,Chandigarh among experimental and research group.

To develop and implement nurse-led interventions for women undergoing Hysterosalpingography in Radiological Department, Nehru Hospital,PGIMER, Chandigarh in experimental group.

To evaluate the effectiveness of nurse-led intervention on anxiety, stress and pain among women undergoing Hysterosalpingography in Radiological Department, Nehru Hospital,PGIMER ,Chandigarh among experimental and research group.

Nurse led Intervention:- In this study, nurse led intervention refer to care given in systemic manner to women undergoing Hysterosalpingography. To relive women anxiety and stress, counseling and informational video will given before procedure. And to relive women pain during procedure deep breathing ,progressive muscle relaxation and guided imagery will be given by the researcher.