Uterine arteriovenous malformations (AVMs) are rare. They are usually acquired malformations that follow a pregnancy event and are diagnosed when uterine bleeding remains uncontrolled despite medical measures. The bleeding caused by these malformations is episodic and can be torrential, warranting hospital admission and blood transfusions. In the past hysterectomy was the mainstay of treatment but with advances in technology, conservative management has become available. Incidence and prevalence