Introduction: AUB at menopausal transition is alarming and needs thorough evaluation, as it could be the only clinical manifestation of cancer.
Methodology: This prostective study was done to evaluate the gynaecological causes of AUB in menopausal transition in OBG Department, MMC&RI, Mysore. These women were evaluated; clinical, ultrasound and histopathological findings were correlated.
Results: In the present study, heavy menstrual bleeding (66.7%) was the commonest type of bleeding pattern. Leiomyoma, DUB and Adenomyosis were the principle causes of AUB. Leiomyoma accounts for the 60.6% of cases, DUB accounts for 15.9%, Adenomyosis accounts for 9.09% and Leiomyoma with Adenomyosis accounts for the 14.39% of cases.
Conclusion: Endometrial biopsy and its interpretation play a pivotal role in the management of AUB cases in menopausal transition. It emphasizes the role of health care professionals to encourage teaching and implementation of alternative procedures to ensure that women receive the maximum benefits with least morbidity.