Retrospective study of histopathological pattern of endometrium in abnormal uterine bleeding


  • A. Shantha Department of Obstetrics and Gynecology, Sri Muthukumaran Medical College Hospital and Research Institute, Chennai, Tamil Nadu, India
  • Nazia Hussain Department of Pathology, Sri Muthukumaran Medical College Hospital and Research Institute, Chennai, Tamil Nadu, India



Abnormal uterine bleeding, Endometrial biopsy, Histopathology, Hysterectomy


Background: Abnormal uterine bleeding (AUB) is a common gynaecological complaint associated with considerable morbidity. It significantly affects the patient’s family personal and social life. The aim of this study was to analyse the histopathological patterns of endometrium in patients presenting with AUB.

Methods: This is a retrospective study conducted in the teaching hospital in the department of obstetrics and gynecology along with the pathology department. All patients with AUB were included in the study. This study of 138 samples both from hysterectomy specimens and endometrial biopsy were included.

Results: The specimen obtained for examination of the endometrial samples 86 comprised from dilatation and curettage and rest 52 samples were obtained from hysterectomy specimens. Most common histopathological pattern was found to be proliferative endometrium, followed by disordered proliferative endometrium and atropic endometrium.

Conclusions: Study of the histopathological pattern of the endometrial biopsies can be included in the initial evaluation of women with AUB when the cause of bleeding is not known along with ultrasound examination, then using it as the last modality for diagnostic and therapeutic purposes, irrespective of age group.


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