الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Transvaginal ultrasound is an excellent tool that provides valuable information in investigating the uterine causes of peri menopausal bleeding. Ideally, a non-invasive investigation is preferred over an invasive one and also an economical investigation preferred over an expensive one; this applies equally to affluent countries and third world., that’s why ultrasonography by any modality is considered to a non-invasive procedure to investigate uterine lesions rather than hysteroscopy which is an invasive one with a high cost. Due to the high sensitivity and specificity of 2D TVS in diagnosis of uterine causes of peri menopausal bleeding , it should be used as a routine investigation in all cases of perimenopausal bleeding, Also It should always be considered that AUB could be due to causes other than local gynecological causes, so excluding these causes is important to reach the appropriate plan for management.