A Histopathological Study of Endometrial Biopsies in Abnormal Uterine Bleeding

Abstract

Background: Abnormal uterine bleeding (AUB) is a very common gynecological problem for which histopathological examination of the endometrium is the gold standard to confirm the exact nature of the lesion and to rule out malignancy.Methods: A prospective study was done in the Department of Pathology from October 2019 to October 2021 on two hundred endometrial biopsy specimens received from clinically diagnosed cases of AUB.Result: AUB was most commonly seen in the age group of 41-50 years. Most of the cases clinically presented with heavy menstrual bleeding. The most common histopathological finding was proliferative endometrium seen in 29% cases followed by secretory endometrium in 17% cases, endometrial carcinoma in 15% of cases and endometrial hyperplasia in 14.5% of cases. Conclusion:Endometrial biopsy is a valuable tool for assessment of endometrial status in cases of AUB due to relative ease, accessibility of procedure and rapid availability of results.