| Ultrasonography is modern technique being utilized for management of reproductive efficiency of dairy cows all over the world. The ultrasound facility was not available in the study area due to which farmers were complaining about reproductive issues of their animals. Therefore, this study was conducted for assessment of reproductive health of cow genital tract using real time B mode Ultrasonography in order to improve the economics of the farmer through decreasing calving interval and improvement of fertility and conception rate. Out of total cows (n=261) observed, 79% of the cows were found positive for various reproductive disorders, whereas 21% of cows were found normal. Overall occurrence of reproductive disorders was higher (52%) in multiparous cows (4 th calver and above) followed by multiparous cows (2 nd and 3 rd calver) (26%) and the incidence was lowest (22%) in 1 st calvers. The incidence was higher in Friesian Cross bred cows (36%) followed by Sahiwal cows (25%), Jersy Cross bred (22%) and lowest in non-descript cows (17%). The incidence of acyclicity and repeat breeding was higher in Friesian Cross bred cows viz; 7.3 and 17% respectively whereas Cervicitis was higher in Sahiwal cows (10%). Endometritis, pyometra and cervicitis were treated with antibiotics like Co-Amoxiclav 4.8 gm and ceftriaxone 4gm Intravenous injections daily for three days along with (penicilin-streptomycin combination) 10 gram intrauterine. Pyometra and Hydrometra were first treated with Cyclomate to regress the Corpus luteum. In repeat breeding issues due to nymphomenia, follicular cysts, Luteal cysts, Buserelin 0.0105 mg/lecirelin 50µg and PGF2 α Analogue100µg Intramuscular (IM) were used. Further research on the efficacy of protocols that integrate ultrasonography with timed AI protocols for re-synchronzation of ovulation, differential management strategies for cows carrying twin fetuses conducted.