Introduction: Abnormal Uterine Bleeding may occur in women of all age groups, responsible majorly (69%) in peri or postmenopausal age group. These complaints may significantly affect the quality of life, result in surgical intervention intending hysterectomy and ultimately have a significant impact on the health care system. Thus, there is a need for noninvasive or minimally invasive technique to study the endometrial pathology. The present study was designed to study the clinico-pathological correlation in abnormal uterine bleeding.
Material and Methods: This study was a hospital based study, conducted in the Department of Obstetrics and Gynecology, SRMS IMS Bareilly. Around 150 patients with a clinical diagnosis of AUB were enrolled & were subjected for transvaginal ultrasound followed by endometrial sampling.
Results: Majority of the patients were multiparous and in peri-menopausal age, presented menorrhagia being the most common pattern. More than half of the patients were obese. Simple hyperplasia and malignancy of endometrium was majorly seen among patients with endometrial thickness of >9mm.
Conclusion: A visual assessment by the transvaginal sonography and histopathological assessment of the endometrium, remains the cornerstone in the current practice. Women with endometrial thickness of ≥ 8mm on TVS, can be further subjected for endometrial sampling and remaining women can be individualized for biopsy.