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Abstract Objectives:. The aim of our study is to perform a comparative evaluation of doppler sonographic changes in uterine artery and arcuate vessels in four groups of women: IUCDs users with and without abnormal uterine bleeding, Combined oral contraceptive users and women not using contraceptives. We will identify a correlation between increased bleeding and Doppler changes. Patients and methods: This prospective longitudinal analytic study was conducted in Cairo University Hospitals after the comittee approval , in the period between Sep 2018 and March 2019. The study included 160 women with ages ranging from 20-35 years, these women were enrolled in 4 groups. group 1: patient on IUCDs with abnormal bleeding (n=40) group 2: Patients on IUCD without bleeding ( n=40) group 3: Patients on COCPs and without abnormal bleeding (n=40) group 4: Women not using contraceptive (n=40) Results: There was statistically significant different between IUCD with and without bleeding groups in the uterine artery PI (P<0.036), Arcuate vessel PI (p<0.001) and arcuate vessel RI (p<0.001). ROC curve showed that the AUC was 0.63 to predict abnormal bleeding in IUCD women |