Objectives:To assess the feasibility of diagnostic hysteroscopy in the diagnosis of abnormal structure and pathological lesions in the uterine cavities of women presenting abnormal bleeding of the uterus.

Methods: This is a Prospective Cross-sectional study conducted in the Department of Gynaecology at Prathima Institute Of Medical Sciences, Karimnagar: one hundred women presenting with Abnormal Uterine Bleeding, over a period of one year from December 2020 to November 2021, were subjected to the procedure.

Results: The results of our study show that hysteroscopy has high accuracy for detecting the pathology in women with abnormal uterine bleeding, especially in benign lesions such as endometrial polyp and submucosal fibroid and it can be used as the first line diagnostic method for these abnormalities.

Conclusion:Hysteroscopy provides a more accurate diagnosis than dilatation and curettage or ultrasonography alone to diagnose pathology in women with abnormal bleeding of the uterus. It is very sensitive for diagnosing intracavitary lesions like submucous myoma and endometrial polyp.