Results :
Table 1 shows most of our patients are para 3 or more96 cases (64%) cases and most patients 82 cases (54.6%) belong to lower socio economic class.
Table 1 and Table 2 shows age groupwise spectrum of endometrial pathologies in patients with AUB. In age group 21-30 years 7cases(4.5%) underwent endometrial sampling and histological features in this age group were mainly benign changes such as proliferative and pill endometrium 2 cases each, secretary change, chronic endometritis, polyp one case each. Age group 31-40 years 53 cases (35.3%) underwent endometrial sampling and histological changes were mostly benign such as proliferative(23),secretary(11)pill endometrium(2)endometrial hyperplasia without atypia (4), with atypia(2) chronic endometritis and endometrial polyp 3 cases each and inadequate sample in 2 cases. Age group 41-50 contributed to maximum number 60 cases (40%) and endometrial changes were Proliferative(22),secretary(12),endometrial hyperplasia without atypia (7),with atypia(3),carcinoma endometrium (1) ,other changes were chronic endometritis (6),pill endometrium(1),Polyp(2).Age group 51-60 contributed 22 cases 14% of cases and histopathological changes were noted as proliferative(6),disordered proliferative(1), Atrophic endometrium (3)and chronic endometritis 2 cases each, endometrial hyperplasia without atypia(6) with atypia(2),carcinoma endometrium(1),inadequate sample(1) other changes were benign. Age group 61-70 total 8 cases (5.2%) underwent endometrial sampling and pathological changes were endometrial carcinoma(3), atrophic endometrium (3) and endometrial polyp (1),inadequate sample for reporting(1). Repeat endometrial sampling was done in cases after inadequate sample it is reported as chronic endometritis in one case and atrophic endometrium in 2 cases in this age group.
Table 3 shows commonest clinical presentation as heavy menstrual bleeding HMB with normal duration 96 cases (64%), followed by heavy and prolonged bleeding in 23 cases (15.3 %), Post menopausal bleeding 23 cases (15.3%), Intermenstrual bleeding(IMB) was presentation in 8 cases 5.4%.
Table 4 shows out of 150 patients out 71 patients subjected to pipelle biopsy only 69 cases sample was obtained while 2 cases technical failure was noted. 34 patients endometrial sample was obtained by traditional dilatation and curettage technique while 47 cases underwent hysteroscopy along with endometrial biopsy and additional 3 cases who consented for repeat sampling by hysteroscopy due to inadequate sample for reporting also underwent hysteroscopy. Inadequate sample was noted in 4 cases in pipelle group and in 3 cases in D & c group . One Uterine perforation was noted in patients undergoing dilatation and curettage. Pipelle biopsy was found to be more feasible for outpatient procedure however dilatation and curettage and hysteroscopy with biopsy were less feasible in our setting