Endometrial biopsy: Need of the hour in the management of abnormal uterine bleeding

Abnormal uterine bleeding refers to symptoms of excessive, scanty, prolonged, cyclic, acyclic bleeding regardless of diagnosis or cause. In SMS Medical College Jaipur, AUB accounts for approximately 20% of Gynecology OPD attendance. In this study, we have attempted to analyze endometrial patterns in cases of AUB and to correlate the histopathology with clinical parameters and age groups. Material and Methods: This study is a hospital based prospective study done on 214 patients of AUB attending Obstetrics & Gynaecology OPD SMS Medical College Jaipur during a period of January 2016 to March 2017. Endometrial biopsy was taken with the help of pipelle biopsy curette. Statistical analysis was done using Epi Info 7. Mean frequency was used to elaborate the data. Results: Maximum 125 patients belonged to reproductive age group followed by 65 in perimenopausal and 24 in postmenopausal age group. The most common pattern of bleeding was menorrhagia (52.3%) followed by menometrorrhagia (17.29%), metrorrhagia (13.08%), postmenopausal bleeding (11.21%), and premenstrual spotting (3.27%) & last was oligomenorrhoea (2.8%). Maximum 41.1% showed secretory phase followed proliferative phase in 20% and 4.21% showed atrophic endometrium. Among abnormal findings maximum were disordered proliferative endometrium (10.28%) followed by pill endometrium (7.01%).