The place of transvagınal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterine bleedings

Aim: To establish the accuracy oftransvaginal ultrasonography, saline infusion sonohysterography and hysteroscopy in diagnosing uterine pathology patients with abnormal bleeding. 
 Material Metod : In our study, Transvaginalultrasonography (TVUSG), Saline sonohystygraphy (SIS) Hysteroscopy were applied to 60 reproductive period, who did not use any contraception method other than condom, have chronic systemic diseases, clinic Dilatation & Curettage (D&C) was all after procedure. Histopathology results obtained D&C compared those TVUSG, SIS Hysteroscopy.
 Results: Histopathologically,28 (46.7%) endometrial polyp, 4 (6.7%) submucomyomia, 10 (16.7%) hyperplasia form of changes due cycle irregularities 18 (30%). The sensitivity, specifieity, positive negative predictive values for detection intracavitary by transvaginal sonography 71,42%, 77,78%, 88,23%, 83,85%. value s determined respeetively 88.89%, 90,48%, 80.00%, 95.0% hysteroseopy 100%,90.00%,95,24%, 100%. Conclusion: TVUSG is a cheaper, easier highly diagnostic procedure detecting pathologies such as polyps submucous myomas. However, high values, low complication rates, direct biopsy simultaneous treatment, we believe that will maintain its 'gold standard' feature diagnosis treatment many years.