Abnormal uterine bleeding (AUB) is the most common health issue seen in women of all age groups. AUB significantly affects the quality of life of women and results in anemia. Endometrial sampling could be effectively used as the first diagnostic step in AUB Objective: The present study was done to determine the histopathological spectrum of endometrium in women presenting with abnormal uterine bleeding. Material and and methods This was a hospital-based prospective observational study conducted in the Department of Pathology from June 2023 to October 2024 with approval from the Institute Ethics Committee. Results Most of the cases were in the age group of 41 to 50 years, comprising 58.13%. The mean age was 43.6 years. About 1.88% cases were malignant while 11.87% cases being precursor premalignant lesions which need to be followed up as they might progress to malignancy. Malignant lesions were seen in the 51-60 years and 41- 50 years age group. Premalignant lesions were majorly seen in the perimenopausal (41-50years) age group. Most common histopathological diagnosis was proliferative endometrium 40.63% and which was most commonly seen in the age group of 41-50 years. Conclusion: From this study we conclude that, majority of the patients presenting with AUB were of the perimenopausal age group. Precursor lesion that is endometrial hyperplasia was also seen in a significant population which should be followed up regularly as these lesions may progress to malignancy. Endometrial carcinomas were found mostly affecting the women of perimenopausal and postmenopausal age group.
Nayak et al. (Thu,) studied this question.