Introduction: The causes of abnormal uterine bleeding include a wide spectrum of diseases of the reproductive system and non-gynecologic causes as well. It is a common clinical problem encountered in routine gynecologic practice. Aim of the study: To study the clinicopathological evaluation of abnormal uterine bleeding in a teaching hospital in Telangana. Materials and methods: This was a prospective study done on patients presenting with AUB from June 2018 to July 2019 in the department of Obstetrics and Gynaecology at Maheshwara Medical College and Hospital, Patancheru, Telangana. Patient demographics, clinical presentation, parity and histopathology findings were studied in 120 AUB cases. Results: A total of 120 cases were included in the study. The patient age ranged from 20 to 55 years. Most of the cases 63/120 (52.5%) were seen in the 41–45 years. Most of the cases of AUB were multiparous 70.8% (85/120). According to clinical presentation majority of women presented with menorrhagia 73.3% (88/120). According to Pap smear findings in AUB cases, most of them 91.6% (110/120) had no abnormality on Pap smears. Conclusion: Abnormal uterine bleeding is common in perimenopausal period in the fifth and sixth dacades of life. Most common clinical presentation is of menorrhagia. Endometrial biopsy study is important in these cases to diagnose the pathological processes and also helps in diagnosing the more ominous hyperplasias and carcinomas of the endometrium.

Keywords: AUB; Clinicopathological evaluation of AUB; Postmenopausal bleeding.