Introduction: AUB is an overarching term used to describe any departure from normal menstruation or normal menstrual cyclic pattern and characteristics.Recently obesity has been suggested a risk factor for
AUB. Due to certain social and biological reasons, women of the reproductive age groups are amongst the most vulnerable to obesity. Thus in view of rising prevalence of excessive weight and obesity in
women, it has become very important to investigate their effects on women’s reproductive health.

Aims and Objectives: To study clinical presentation of AUB amongst women attending gynecology OPD and indoor to ward with AUB and to study association of AUB with BMI.

Materials and Methodology: All consenting women attending gynecology OPD and those who are indoor to gynecology ward with AUB (Uterine bleeding with clinically detectable organic, systemic and iatrogenic cause.) were included in study. A cross sectional study enrolled 200 consenting women who attended gynecology OPD or indoor to ward of tertiary care hospital with AUB over duration of 12 months. Data were collected by taking history, clinical examination
and investigations. Height and weight were recorded and BMI was calculated. The data were analyzed by using EMI software.

Results: Amongst 200 consenting women having AUB, the most common type was uterine leiomyoma which was present in 62 women and prevalence of obesity was 25%. Statistical significance found in
subjects presenting with AUB with grades of BMI. Subjects with AUB-L had maximum numbers of subjects who were obese (34%).

Conclusion: Early diagnosis and management of obesity and appropriate life style modification should be encouraged among women of reproductive age group to reduce the incidence of AUB. Promoting
healthy eating habits and maintains normal and optimum BMI should improve menstrual health.