Background: Abnormal uterine bleeding (AUB) is one of the most common problems presenting to the gynecologist. Abnormal Uterine Bleeding is a term which refers to menstrual bleeding of abnormal frequency, duration or quantity.
Method: This retrospective study of was carried out in perimenopausal women with complain of abnormal uterine bleeding in the age group ranging from 40-50 years for a period of one year. The age, parity, menstrual complaints were noted and clinical diagnosis along with ultrasound report and histopathological reports of endometrial tissue were analyzed. Also the histopathological report of the hysterectomy specimen was analysed.
Results: Among 126 total women in the study 65% were between 40-45 years of age. Majority (73%) were multipara. Menorrhagia was the most common presenting symptom. Leiomyoma was the commonest cause (52.3%) followed by DUB (41.2%). Proliferative endometrium was the most common histopathological finding present in 52.3% of cases.
Conclusion: Abnormal uterine bleeding predominantly affects women of perimenopausal age group. Although benign lesions are commonest cause of AUB in this age but thorough evaluation is required as it could be the only clinical manifestation of endometrial carcinoma.