Objective : To Evaluate the diagnostic efficacy of hysteroscopy ,transvaginal sonography (TVS) and histopathological examination in cases of abnormal uterine bleeding . Method : A prospective study was conducted at Sheth V.S.General Hospital from June 2007 to May 2008. 100 consecutive patients attending the Gynec O.P.D and having complain of abnormal uterine bleeding were selected for the study. All women underwent TVS and hysteroscopy. Dilatation and currattage (D & C) was done only in patients with abnormal findings. (Either in TVS or hysteroscopy). Endometrium was sent for histopathological examination.