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Background: Abnormal uterine bleeding (AUB) is the most common presenting complaint of patients in Gynaecology Outpatient department. Early diagnosis of endometrial hyperplasia throughultrasongraphic measurement ofendometrial thickness and definite diagnosis by histopathologic examination will help the clinicians to give appropriate treatment to the patients.The objective of this study was to correlate the histopathology findings in abnormal uterine bleeding with endometrial thickness by ultrasonography. Methods: This was a prospective study done from Nov 2016 to June 2018.A total of 382 cases of AUBpresenting above 40 years of age were included. Endometrial thickness was measured by ultrasonography. Histopathological findings were studied and compared with the endometrial thickness. Statistical analysis were done using chi square test. Results: A total of 382 cases were analysed. Maximum number of cases were from perimenopausal age group (68.32%). Majority of the cases were due to non organiccauses(85.34%). 46.86% of patients hadendometrial thickness of 5-10mm followed by endometrial thickness of 11-15mm in39.01%. Disorderedproliferative endometriumwas the most common pattern (38.34%) in our studyfollowed by secretory endometrium (35.58%) and menstrual endometrium (18.71%).These findings were found to be statistically significant. Conclusion: A thorough histopathological work up and clinical correlation is mandatory in cases of abnormal uterine bleeding above 40 years to find out organic lesions. Careful screening can detect precursor lesions likeendometrial hyperplasiaand early cases ofendometrial carcinoma which has excellent prognosis and it will help in further management.

Correlation Between Endometrial Thickness By Ultrasonography and Histopathology in Abnormal Uterine Bleeding