Clinicopathological Study of Endometrial Biopsy in Abnormal Uterine Bleeding

Background: Abnormal Uterine Bleeding (AUB) is any bleeding that does not correspond with the frequency, duration or amount of blood flow of a normal menstrual cycle. The histopathological diagnosis of abnormal uterine bleeding (AUB) shows spectrum of patterns and pathologist plays a vital role in the reporting of endometrial and differentiating non-neoplastic lesion from neoplastic lesions, early detection of precursor lesions and exclusion of malignancy. Material and Methods: Specimens received as endometrial curettage were studied followed by correlation of histopathology with age, parity and clinical presentation. Results: The peak incidence is observed in the age group of 41-50 years. Most of the patients were multiparous (81.2%). The most common bleeding pattern was menorrhagia (57.12%). The most common histomorphology pattern was proliferative pattern followed by 23.43% cases of endometrial hyperplasia out of which 6 were cases of atypia. Only 7 cases (0.39%) of endometrial carcinoma were reported all of them in the postmenopausal age.