Abstract

Abnormal uterine bleeding (AUB) is the most common gynaecological complaint and can have varied presentation as well as different causes. Endometrial biopsy is a reliable and important tool to measure incidence of gynaecological conditions causing abnormal uterine bleeding. Aims: 1. To assess endometrial morphology in endometrial biopsies of patients with the complaint of abnormal uterine bleeding. 2. To observe distribution of different endometrial pathology patterns in patients of various age groups presenting with abnormal uterine bleeding. Materials and Methods: A retrospective descriptive study was conducted from January 2019 to December 2021. Patients with abnormal uterine bleeding who have taken consultation in OBG OPD, Subbaiah institute of Medical sciences, Shivamogga and in whom endometrial biopsies was collected were included in the study. Results: A total of 365 cases were included in the study. The most common endometrial pathology pattern observed in abnormal uterine bleeding was endometrial hyperplasia without atypia seen in 39.45% of cases. Age group of patients ranged from 20yrs - 80yrs with the commonest clinical complaint being menorrhagia seen in 45.5% of cases. Conclusion: Histopathological characterization of endometrial biopsies by light microscopy is considered as gold standard for diagnosis of the etiology of abnormal uterine bleeding, because of the relative ease and safety of obtaining the samples along with reasonable reporting time and diagnostic accuracy.

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