الفهرس 
Abnormal uterine bleedingOnly 14 pages are availabe for public view
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Abstract
Summary Abnormal uterine bleeding (AUB) at any age in a woman’s life is disruptive and more common in perimenopausal age group. Abnormal uterine bleeding (AUB) generally describes all abnormal patterns of bleeding that may result from a variety of causes, including anovulation, pregnancy, uterine pathology and coagulopathies.
The prevalence of AUB is estimated to be 11-13% in the general population and increases with age, significantly impacting quality of life and imposing financial burden.
There are many benign causes of perimenopausal bleeding, including atrophic endometrium (50%) , endometrial hyperplasia (13%) and endometrial polyps (10%) .However, there is also about a 1% probability of cervical cancer and about a 10% probability of endometrial cancer in women with perimenopausal bleeding.
Transvaginal sonography (TVS) is relatively cheap, needs no anaesthesia and being non-invasive, it can be the first diagnostic step in evaluation of AUB .
Transvaginal ultrasound (TVS) with color Doppler is the cornerstone of initial management which can reliably exclude the most common intracavitary pathologies including endometrial polyps and submucosal fibroids and adenomyosis. Many authors have studied the significance of measurement of endometrial thickness by TVS in the diagnosis of abnormal uterine bleeding. The various studies performed in this aspect have proven that, measurement of endometrial thickness is significant in differentiating