Introduction: Numerous terminologies are used to describe abnormal uterine bleedingmenorrhagia, metrorrhagia, polymenorrhea, oligomenorrhea, intrmenstrual and postcoital bleeding [6]. The spectrum of cervical changes in perimenopausal age ranges from cervicitis to dysplasia to frank malignancy. Methodology: A total of 415 hysterectomy specimens of perimenopausal age group received at Department of Pathology, Hassan Institute of medical sciences, Hassan between the period of January 2015 and December 2016 were included. Results: The predominant histomorphological pattern in endometrium was proliferative phase (48.43%). Endometrial hyperplasia was seen in 72 cases, out of which atypia was seen in 6 cases. In 7 cases endometrial polyps were seen. 6 cases (1.44%) showed endometrial carcinoma. Conclusion: other than malignant lesions, benign neoplastic and nonneoplastic lesions should also be considered in the evaluation of abnormal uterine bleeding cases

Keywords: Hysterectomy; Histopathology; Endometrium.