Abnormal Uterine Bleeding (AUB) A Clinicopathological Study of 150 Cases

bleeding and clinicopathological correlation. Study Design: Retrospective randomized study. Place and Duration: From September 2012 to August 2013 at MCH Department of Gynaecology and Obstetrics, unit II, Pakistan Institute of Medical Sciences Islamabad. Materials and Methods: Retrospective study of 150 patients with abnormal uterine bleeding (AUB) for a period of one year from September 2012 till August 2013. Patients presenting to MCH Center PIMS OPD with complaint of abnormal uterine bleeding were assessed. Adetailed history was followed by general physical examination, hysteroscopy and endometrial biopsy, which was then sent for histopathological examination. Result: The major symptoms with which the patients presented was menorrahgia 34.6% , polymenorrahgia 27.3%, metrorrahgia 20.6%, polymenorrhea in 4.7% cases, postmenopausal bleeding 4.6%, hypomenorrhea 3.3%, oligomenorrhea 2.0%, continuous PV bleeding 2.0%, secondary amenorrhea 0.6%. Histopathology of endometrium was analyzed which includes Proliferative phase 34.6%, Secretory phase 24%, Estrogen dominant 22%, Pill pattern 7.3%, Hyperplasia 5.8%, Anovulatory endometrium 4%, Aries Stella pattern 2%, Chronic endometritis 2%, Senile atrophy 0.6%, Endometrial carcinoma 0.6%. Conclusion: in our study dysfunctional uterine bleeding was the most common cause of Abnormal Uterine Bleeding followed by fibroid uterus less then 3cm. Histopathology revealed majority of endometrium in proliferative phase.