 Hello, everyone. I am Dr. Preeti Rao. Secondary radiology resident at Siusa Medical College in Sturrendanagar, Kuchirath. The topic of my paper is Role of Transvagina Sonography in Assessment of Abnormal Luterine Bleeding in Peri-Monoposal HGRO. Name of the study to assist the role of U.S. team patient with abnormal luterine bleeding in peri-monoposal HGRO. Introduction of the abnormal luterine bleeding defines the change in frequency, duration and amount of menstrual bleeding. Associated with ovulatory cycles, usually an organic was also associated with inovulatory cycles, diagnosis of exclusion, no anatomic abnormality and based on patient history. Then, etiologies, organic and dysfunctional inorganic systemic reproductive tract disease, heterogenic, in dysfunctional ovulatory and inovulatory, reproductive tract disease, gestational event, malignancies, in benign conditions including atrophy, adenomyces, lyromyoma, polyps, cervical lesions, foreign body and infections. Role of U.S.G. Luterine architecture, endometrial thickness, important action to sampling, transvagina sonography, better sensitivity is mainly 89% and specificity is 96%. Endometrial thickness is 5mm in normal. Excluded criteria is endometrial carcinoma, Goldstein 1919, after manopause, U.S.C. plus endometrial biopsy is taken when endometrial thickness is greater than 5mm. Transvagina sonography, it is done with a probe which is placed close to the target organ. There is no need of a full bladder. It also avoid the difficulties due to obesity, face inner transabdominal sonography. Transvagina sonography operated at a high frequency, mainly 5 to 8 mhz. Therefore, detailed evaluation of the pelvic organ within 10 cm of the field is possible with the T.V.S., but the drawback of the transvagina sonography and mainly due to narrow vagina as in virgin, postmenopausal woman, or post-radiation vaginal stenosis. Details and method, observation of study carried in the department of radiology diagnosis and C.U.S.H. hospital student and agar. About 80 patients presenting with the complaint of abnormal uterine bleeding. All the patients underwent a diagnostic and therapeutic DNC when indicated. Histopathological correlation and fall-off with surgical finding is done when available. This is all included. Case of 39-year-old female presented with history of lower abdominal pain, fullness of abdomen, and irregular vascular bleeding. On T.V.S. ultrasound image reveals giant heterogeneous hypoethylician with lateral shadowing and posterior acoustic enhancement is seen on color Doppler. Legion does not show any vascularity. This is the fibroid with the displaced endometrial strip is seen. 40-year-old female with abdominal pain and vaginal bleeding. The ultrasound image shows some mucosal fibroid of uterus well-visualized on T.V.S. with impression on the endometrial strip. Next one is a 42-year-old female with perimenopausal continuous bleeding from parapagina. On T.V.S. it shows thickened endometrium with surrounding normal endometrium in dilatation and curatage level endometrial hyperplasia. This one is 42-year-old female with perimenopausal continuous bleeding from paravagina. On T.V.S. it shows thickened endometrium with surrounding normal myometrium in dilatation and curatage levels endometrial hyperplasia. This one is 42-year-old female with a history of painless continuous vaginal bleeding. On T.V.S. it shows focal area of thickened endometrium. In stereoscopic biopsy reveal the presence of endometrial polyp, 42-year-old obese female with history of vaginal bleeding. On T.V.S. it shows thickened endometrium. DNC biopsy reveal the presence of endometrial carcinoma. This one is 42-year-old female with vaginal bleeding and endometrial fullness. T.V.S. show endometrial mass with increased vascularity. DNC biopsy reveal the presence of endometrial carcinoma. Observations out of PT patient study and abnormality was reported in 57 patients on T.V.S. All the patients underwent a diagnostic and therapeutic DNC when indicated. Histopathological correlation was obtained when available. Patient were also followed with surgical finding when available. Here is the bar graph of each distribution in study population. It shows each distribution of the study participants. Reveal majority of the female are in the age group of 30-40 years followed by the 25-30 years. This is the graph of diagnosis on T.V.S. diagnosis included fibroid endometrial hyperplasia, endometrial polyp, endometrial carcinoma and normal patients. Majority of the diagnosis is fibroid syn. Then we get rid of the graph of diagnosis on DNC, mainly syn in the normal patients. Final diagnosis on follow-up. Mainly diagnosis is fibroid followed by the normal patient. Then the endometrial hyperplasia. Then the endometrial carcinoma is the endometrial polyp. T.V.S. had a very high sensitivity for diagnosing fibroid. Then the DNC especially sub-cerosal and intramural. There is only two smaller fibroids whereas DNC could detect only the four submucosal fibroids. T.V.S. also made four cases of endometrial hyperplasia. Two cases of endometrial carcinoma were strongly diagnosed as endometrial hyperplasia by T.V.S. alone. Graph of sensitivity of T.V.S. and DNC have known malutera in bleeding. The fibroid shows sensitivity of on the T.V.S. 93 percentage and DNC 13 percentage. Endometrial hyperplasia show on T.V.S. 75 sensitivity and DNC 100 percent and in endometrial polyp both T.V.S and DNC show 100 percent sensitivity in endometrial carcinoma on T.V.S 83 percentage and DNC 100 percent show message. T.V.S allow for the detection of endometrial pathology in the vast majority of the patient with abnormal uterine bleeding. It is easy to perform, give an excellent visualization as compared to T.S and it and is well accepted by the patient. It is superior to DNC in sub-cerosal intramural pathologies. It can be used as a first-line investigation in all cases of abnormal uterine bleeding.