Histological Patterns of Endometrial Lesions in Endometrial Curettage Specimens of Abnormal Uterine Bleeding Patients

Background: Endometrial curettage is one of the commonest invasive gynecological procedure in reproductive as well as post reproductive age in abnormal uterine bleeding. Objective: To determine the histological types of endometrial lesions in curettage specimens, of women having abnormal uterine bleeding. Methodology: This descriptive study was conducted in Bannu Medical st st College from 1 March 2011 to 31 May 2014. A total of 170 endometrial curettings were included in the study. The inclusion criteria was sufficient endometrial specimen from women of any age with abnormal uterine bleeding, where as the exclusion criteria was insufficient curetting specimen. A minimum of one sections and a maximum of three sections were taken from the endometrial specimen. Sections 5 micron thick were prepared and stained with H&E and reported by histopathologist. The data was entered and analyzed in SPSS version 17. Results: A total of 170 endometrial specimens were included in this study with age range from 21 to 73 years. The most common age group encountered was 31-40 years, in which 67(39%) cases of endometrial specimen were noted. The common histological lesion were secretory phase endometrium 54 (31.7%) followed by proliferative phase 47 (27.6 %), retained product of conception 16 (9.41%), endometritis 13 (7.64%) and endometrial polyp 12 (7.05%). Conclusion: This study showed that that endometrial curettage is a significant diagnostic tool in identification of the lesion leading to abnormal uterine bleeding in any age patients.