الفهرس 
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Abstract
Abnormal uterine bleeding is one of the most common disorders in women at perimenopausal period. The AUB can cause complications in personal and social life. The AUB term refers to any change and irregularity of menstrual cycle and covers all changes in the duration, number, and amount of bleeding. Although it has been estimated that more than 30% of referrals to the women health centers are related to the AUB; it is worth to notice that some patients may not be referred. This fact might explain why the prevalence of the AUB in different studies had a range from 10 to 52%. The AUB has numerous disadvantages on patients’ health-related quality of life such as loosing concentration on the jobs, treatment costs and iron storage deficiency. the AUB has been considered as a cause of physical and psychosocial health problems and total quality of life as a result of the medical and paramedical effects that highlights the need to assess the AUB early and with tools that are reliable and valid. There are different diagnostic tools to evaluate the endometrial focal lesions. The main and the most common tools are transvaginal sonography, sonohystrography and hysteroscopy. This variety of tools makes the first choice difficult and controversial. Transvaginal Sonography is the first measure to diagnose abnormal endometrium proliferation in the AUB condition in the pre-and postmenopausal ages, while, Saline Infusion Sonohystrography seems to be superior to TVS, for uterine pathologies. The SIS is usually carried out by entering the sterile saline into uterine cavity and should be done on specific days (days 3 to 7 of the menstrual cycle and the best is day 6th that is close to the end of bleeding period), when the Endometrial Cavity is thin. Diagnostic hysteroscopy with endometrial biopsy is gold.