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INTRODUCTION The objective of this study is to analyze the differences in transvaginal color Doppler parameters in premenopasual women with abnormal uterine bleeding (AUB) among PALM-COEIN groups. MATERIALS AND METHOD This cross-sectional study was performed in a training and educational hospital, included 147 premenopausal women with AUB. Patients were divided into four groups according to PALM-COEIN. All subjects were evaluated by transvaginal Doppler sonography and uterine artery (UA) pulsatility and resistive indexes (PI, RI) were calculated then compared. RESULTS Four groups named AUB-P, AUB-E, AUB-M and AUB-O included 39, 30,32 and 46 patients, respectively. The mean age of patients was 44,82 (35 to 55 years), EC rate was 3,4%. UA-PI was lower in the AUB-M group compared with AUB-P and AUB-O (p < 0,001). UA-RI was different among gruops (p < 0,001). UA-RI was lowest in the AUB-M, and highest in the AUB-O (0,60 ± 0,15; 0,85 ± 0,05 respectively). The cut-off values of ET, UA-PI and UA-RI for detecting AUB-M were 13,5, 1,55 and 0,71 respectively. CONCLUSION Transvaginal color Doppler sonography may be beneficial in detecting the etiology of AUB in premenopausal women.