DOI: 10.36347/sjams.2014.v02i01.009

Pages: 46-49

Abnormal uterine bleeding is a challenging gynecological problem caused by various endometrial pathology. The present study is to evaluate clinically gynaecological causes of abnormal uterine bleeding and to study endometrial pattern in AUB.It was a retrospective study of patients who have had abnormal uterine bleeding performed at the Department of Obstetrics and Gynecology S.N.M.C & H.S.K Hospital and Research Centre Bagalkot from March 2010 to May 2011, 85 women with abnormal uterine bleeding were evaluated clinically and correlated with histopathological findings of endometrium.85 patients with abnormal uterine bleeding were divided into reproductive, perimenopausal and postmenopausal age groups. Maximum number of patients (61.1%) were in the perimenopausal age group. Abnormal uterine bleeding was high in parity 3 and grand multipara. Menorrhagia (45.8%) was the most common bleeding pattern seen. DUB was the most common clinical diagnosis followed by fibroid uterus. Histopathological report revealed that endometrium was proliferative in 44.7% and secretary in 23.5% of cases. Endometrial hyperplasia was seen in 9.4% of cases. Abnormal uterine bleeding predominantly affects women of perimenopausal age group which is alarming and needs thorough evaluation as it could be the only clinical manifestation of endometrial cancer.