This study is a prospective study in which 60 patients were recruited from the out patient gynecological clinics, kasr El-AinyHospital, Cairo university. All patients presented with post menopausalbleeding and were between 49 and 71 years old.The most common endometrial histopathology was endometrialatrophy 24 cases (40%) followed by hyperplasia 16 cases (26.7%) thenendometrial carcinoma 8 cases (13.3%) with 6 cases of endometrialpolyps (10%) and 6 cases of disordered proliferate endometrial (10%).All patients were subjected to 3D transvaginal ultrasound, 2Dsaline infusion sonohysterogrophy and hysteroscopy and the result werecorrelated to the histopathology.