AbstractEndometrial biopsies and curetting plays an important tool for diagnosis of endometrial pathology, whether benign, pre-malignant and malignant, and help the gynecologist to decide appropriate therapeutic strategy. The current study was carried out to document the histopathological appearances seen in endometrial biopsies, various patterns of bleeding, and their co-relation with endometrial pattern.
Materials and Methods: The study is hospital based retrospective study done on the patients presenting with chief complaints of Abnormal uterine bleeding (AUB) in the department of obstetrics and gynecology. Sri Venkateswara Medical College Tirupati, Andhra Pradesh, for period of 6 months July –December 2019 in the government maternity hospital. A total of 200 cases included in this study.
Results: Patients were sub divided into 5 groups, maximum number of patients are in the age group between 41-50 years that is 40% and least is 5.5% are more than 60 years. The most common pattern of bleeding was heavy menstrual bleeding (61 patients, 30.5%), least was infrequent menstrual bleeding was 9.5%. Among endometrial patterns, proliferative phase endometrium was the most common one, among patients with heavy menstrual bleeding proliferative endometrium (27 cases) is most common endometrial pattern observed. Endometrial carcinoma is mostly seen in postmenopausal bleeding (4 cases).
Conclusion: Endometrial biopsy is an important tool to diagnose gynecological conditions in patients presenting with AUB. Timely evaluation of AUB with histopathology can be lifesaving with early diagnosis and management.