Different Modalities for the Evaluation of Patients With Peri-menopausal Bleeding

Three Dimensional Ultrasonography Versus Hysteroscopy for the Evaluation of Patients With Perimenopausal Bleeding

The study aims to compare between 3D ultrasonography and hysteroscopy for the evaluation of cases with Peri-menopausal bleeding

Inclusion Criteria:

Any pattern of abnormal uterine bleeding as menorrhagia or metrorrhagia for more than 3 months at age between 40 and 55 years , and no ovarian lesion or local cause of bleeding as vaginal or cervical ulcer

Exclusion Criteria:

• • Women with postmenopausal bleeding.

  • Systemic causes of perimenopausal bleeding DM Hypertension or chronic liver disease.
  • Women on hormonal therapy or using any contraception as IUD.
  • Women have contraindication for hysteroscopy as cervical stenosis or pregnancy.