Prevalence of Cesarean Section Niche in Women With Unexplained Abnormal Uterine Bleeding

Inclusion Criteria

• •Patients with a history of cesarean section who are complaining of abnormal uterine bleeding with the following criteria :
• •Normal complete blood count apart from paramaters of anemia
• •Not using drugs affecting coagulation profile
• •Bleeding is not related to pregnancy
• •Not using intrauterine contraceptive devices or hormonal contraceptives
• •By ultrasonography : no abnormalities in the pelvis e.g benign or malignant tumors , ovarian cysts or tumors
• •No evidence of cervical abnormalities as cause of bleeding with cervical examination or cervical smears
• •If the patient refused the technique ( office hysteroscopy )