This study will focus on evaluation of the uterine cavity after operative hysteroscopy using three-dimentional tranvaginal ultrasonography and office hysteroscopy to detect and residual or recurrent abnormalities or intrauterine adhesions to optimize the results of operatve hysteroscopy in different uterine pathologies such as uterine polyps, fibroids, adhesions in addition to mullerian anomalies especially septate uteri.

Inclusion Criteria:

1. Patients in reproductive age group
2. Patients already selected for operative hysteroscopy
3. Patients accepted to share in the study
4. Patients accepted to come for follow up ( within 3 months after the initial operative procedure, at least after 4 weeks

Exclusion Criteria:

1. Patients outside the age of reproduction
2. Patients with negative findings at operative hysteroscopy
3. Patients refused to share in the study
4. Patients not available for follow up
5. Infection
6. pregnancy or design of pregnancy

Biological females

It will be held in the department of Obstetrics and Gynecology during the period from February 2025 to February 2026. The study will include all recruited patients who will be selected for operative hysteroscopy during that period.