Inclusion criteria:  study group:  women using POP. Age: reproductive age.  Symptoms: abnormal uterine bleeding without an organic cause.  2-Authorization to participate in the study .  Control group  1- women attending to office hysteroscopy clinic  Age: reproductive Age Contraception use : none. Hormonal use: none.  Symptoms: abnormal uterine bleeding without an organic cause. All women in both groups would be subjected to Trans Vaginal U.S before doing hysteroscopy .  b. Exclusion criteria:  study group  Coagulopathies Any contraindications to POPs as : past or current breast cancer, cirrhosis, and use of anticonvulsants suspected pregnancy current stroke or IHD  severe hypertension  •Any contraindications to hysteroscopy as :  Pelvic infection Pregnancy Cervical cancer Heavy uterine bleeding. Control group --Women using any type of hormones including COCs .