Aim: Infertility is a major burden for couples in developing nations, accounting for majority of gynecological outpatient consultation. The fallopian tubes are delicate structures, vulnerable to infections and their sequelae. The tubal factors are one of the leading causes of infertility. Fallopian tube patency and morphology of the uterus and cervix are best assessed by hysterosalpingogram (HSG). With this background, we aim to study different patterns of HSG in infertility. Materials and methods: The present study was an observational study conducted over a period of one and a half years. A sample size of 172 patients seeking treatment for infertility and who fulfilled the inclusion criteria were recruited in the study. A routine hysterosalpingography was done to look for patency of the fallopian tubes and to identify uterine and intraluminal tubal abnormalities. Results: The prevalence of infertility reported in the current study was 5.1%. In the present study, abnormal HSG findings were found in 37.2% (n = 64) of subjects. Majority of the patients had unilateral tubal blockade (24.4%) followed by peritubal adhesions (19.7%). Conclusion: This study showed that HSG is an important and cost-effective tool in diagnosing genital tract abnormalities and tubal patency in infertility patients.