Introduction: One of the major problems affecting human reproduction that bothers many men and women is infertility, that affect 10-15% of couples in reproductive age group. Infertility can be attributed to a galaxy of factors. Only pelvic examination may not be able to appropriate all the abnormalities related to infertility. Hence, need of other diagnostic and therapeutic investigation. Transvaginal Ultrasound(TVS) has recently become first line mandatory step in the initial evaluation of uterine abnormalities, but various studies have proved hysteroscopy as gold standard. Aim: To compare transvaginal ultrasound findings with hysteroscopic findings in evaluation of uterine cavity, ad its abnormalities in patient of infertility prior to IVF. Methods: It was a hospital based prospective study conducted at a tertiary centre of Punjab for a period of 18 months after getting approval from IEC. 100 patients of Infertility were evaluated by TVS followed by hysteroscopy. The findings were noted and statistical analysis was carried out. Results: The sensitivity, specificity, PPV, NPV and accuracy of TVS were 82.05%, 72.73%, 91.43%, 66.33%, 80% while that of hysteroscopy were 92.74%, 97.8%,100%, 86%, 92% respectively. Hysteroscopy and TVS when combined together for evaluation of intrauterine pathologies, the sensitivity, specificity, PPV, NPV and accuracy increased to 98.65%, 100%, 100%,97.89% and 95% respectively. Conclusion: TVS is a sensitive, low cost and non invasive tool to find out any pelvic pathology in patients of infertility. As far as uterine evaluation is concerned, hysteroscopy proves to be more sensitive tool. However, if both are used together the diagnostic yield in terms of sensitivity and specificity is still higher.