To assess the pattern of hysterosalpingography (HSG) among infertility women in Saudi Arabia. This is a retrospective study of hysterosalpingography (HSG) findings of diagnosed female infertility who enrolled at the infertility department of Maternity and Children Hospital (MCH), Sakaka, Aljouf Saudi Arabia over a duration of July 2019 to June 2020. We obtained the Data of patients from the Picture Archiving Communication System (PACS) system which includes the presenting baseline character of all patients, and the HSG finding. Analysis of data was performed by SPSS 23.0 version software. A total of three hundred ten diagnosed infertility women data were revised retrospectively from computerized record files. We determine the HSG finding of tubal occlusion and hydrosalpinx in right, left, and bilateral 5.4%,6. 4%, 9%, 5.8%,8%, and 6.1% respectively. Although, the Present study also detected uterine fibroid, uterine adhesion, adenomyosis, and bicornuate uterus at 14.5%,4.5%,4.8%, and 7.4%, respectively. The hysterosalpingography showed no detected abnormality in 27.7% of infertility women. HSG determined that tubal occlusion and hydrosalpinx are mostly the cause of infertility in our study in addition to uterine causes. The left tubal occlusion and hydrosalpinx were higher percentages than the right. While secondary infertility is most common in contrast to primary infertility.