Introduction: Any bleeding coming out from uterus other than menstruation is abnormal uterine bleeding. It is major gynaecological problem leading to gross ill health especially in peri-menopausal and meno-pausal age group. It becomes mandatory to find the endometrial pattern in such cases to analyse the pattern of abnormal uterine bleeding.

Material & Methods: 450 patients reported with dysfunctional uterine bleeding during a period of one year (2019) in the department of Obstetrics & Gynaecology in a tertiary care hospital. Out of which 100 patients satisfied our inclusion and exclusion criteria. This was prospective study & was done to determine the types and frequencies of endometrial pathologies in women presenting with abnormal uterine bleeding who underwent endometrial sampling by Dilatation & Curettage. The data was presented in frequency and percentage. Correlation was found between the age & endometrial findings and between type of clinical symptom presentation & endometrial findings.

Results: 100 patients were included in the study according to the chosen inclusion and exclusion criteria. The majority of cases (38%) belong to the age group of 31-40 years followed by 32% in the age group of 41-50 years. DUB was more common in multiparous women (61%) followed by grand multiparous (19%) and nulliparous (20%). 67% of patients were of normal weight, 13% underweight and 20% were overweight.

Conclusion: Evaluation of women presenting with dysfunctional uterine bleeding is absolute necessity to detect underlying pathologies. The endometrial sampling is an important diagnostic tool in the management of abnormal uterine bleeding. The cause of DUB is strongly related to patient age, type of menstrual cycle and menopausal status.