Although hysteroscopy (HS) and transvaginal ultrasonography (TVSG) are methods in the diagnosis of AUB, there is some suspicion about their efficacy. The aim of this study was to determine the efficacy and safety of HS and TVSG on diagnosing abnormal uterine bleeding(AUB) .216 women admitted to the investigators clinic (Sisli Ethal Training and Research Hospital, Obstetrics and Gynecology Department Obstetrics Service ) between 21-51 years of age. These patients were divided into two groups; menopause (71women) and pre-menopause (145 women). HS and endometrial sampling were performed both groups after TVSG.The success of these methods was assessed by kappa analysis

Inclusion Criteria:

• patients who have no history of hysteroscopy and curettage,
• patients who have no history of ovulatory dysfunction
• women who have active vaginal bleeding.

Exclusion Criteria:

• presence of genital infections/PID
• presence of pregnancy
• presence of vaginal or cervical pathology causing vaginal bleeding
• women who are receiving hormonal treatment (COC/HRT)
• patients formerly diagnosed with endometrial pathology
• patients having coagulopathy
• women who are using intrauterine device.