Uterine Arterio Venous Malformation is defined as the rare pathology and difficult to quantify, with approximately 100 cases reported in the literature. Yazawa & O'Brien suggested pelvic sonographies of patients to rule out cause of uterine bleeding, reported variable incidences of Arterio Venous Malformation 4.5% and 0.6% respectively.(2) Main Pathophysiology is formation of direct communication amongst uterine arteries and veins & absence of intervening capillaries. It is life-threatening as profuse bleeding per vagina is the typical presentation. In this article, 32 year female G2P1L1 (Urine Pregnancy Test was done in the hospital) with amenorrhea since 2 months followed by vaginal bleeding since 20 days. Ultrasound of pelvis -increased vascularity with involving vessels of sub-endothelium and myometrial and Retained Products Of Conception, which complicated the diagnosis. She was investigated. As she was hemodynamically stable, she underwent expectant management and responded well.