ABSTRACT
To identify the hisopathologic patterns of endometrium in patients suffering from dysfunctional uterine bleeding [DUB] and its effects on female health. Descriptive Cross-sectional study. Department of Obstetrics and Gynaecology, Bahawal Victoria Hospital Bahawalpur from June 2003 to June 2004. One hundred married women of 15-45 years of age diagnosed as having DUB on history and clinical examination [including per-vaginal and per-speculum] under went D and C under anaesthesia and endometrial specimen obtained. Endometrial specimen fixed and preserved in 10% formalin and sent to lab for histopathological examination. Among 100 married women from 15-45 years of age, 80% were multiparous and commonest presenting symptoms were menorrhagia [35%] and polmenorrhagia [31%]. Histopathologic evaluation showed normal secretary phase of menstrual cycle in 28%, hormonal imbalance in 21%, endometrial hyperplasia in 44%, endometrial polyp in 4%, pill endometrium in 2% and endometrial carcinoma in 1% of cases. Anemia was present among 92% patients. Endometrial hyperplasia is the commonest pathologic alteration in patients with DUB and serious pathology [endometrial carcinoma] would have been missed if endometrial curettage was not done. It has profound effects on female health in the form of anemia