Inclusion Criteria:  having isthmocele and complaining for postmestrual spotting bleeding having cesarean section as a last delivery way. not planning for fertility complaining about dysmenorrhea and pelvic pain  Exclusion Criteria:  having pelvic infection having an any type of previous pelvic surgery having leiomyoma, endometrial polyp or adnexal mass having any type of malignancy having thyroid dysfunction and prolactinemia