Background: Evaluation of AUB in perimenopausal women is important because, during this period the endocrinological, biological and clinical features approaching menopause commences. The present Study was conducted with the aim to study and analyze clinic-pathological evaulation with clinical findings of cases wherever applicable. Method: It is a hospital based study conducted during the period of 2015 to 2017 in every consecutive Patient attending, Department of obstetrics and gynecology, GSL medical college. Patients were selected according to the inclusion criteria. Informed and written consent was taken from all the cases enrolled in the study. Ethical clearance was obtained from the ethical committee Base line information and clinical history of a patient was obtained in a pre designed proforma. Result: Majority of Patients about 45% were having Heavy Menstrual bleeding, 32.5% of them with intermenstrual bleeding followed by Irregular Bleeding with 10%. Scanty bleeding and Postmenopausal bleeding accounted for 7.5% and 5% respectively. As per clinical, radiological and histopathological diagnosis leiomyoma accounted for major aetiological factor that is 41.3%, 36.3% and 37.5% clinically, radologically and histologically respectively, followed by Ovulatory dysfunction with 33.8% clinically, 32.3% radiologically and 31.3% histologically. Conclusion: Clinical impression should be placed in to proper perspective of structural and non structural classification so that accurate diagnosis based on proper work up can help in optimizing the treatment protocol. Histopathology proved to be of little help in diagnosing adenomyosis, malignancy and endometrial hyperplasia as it is impossible to diagnose them clinically.