Histopathological Findings of Uterine Sample in Women with Abnormal Uterine Bleeding

Abnormal uterine bleeding considered as major gynecological problem in our community, the histological sectional study aimed to review the histopathological findings in uterine biopsies of 405 patients from different age groups who have been admitted to Al- Karama Teaching Hospital in Kut / Wasit Province/ Iraq which complained of abnormal uterine bleeding (AUB). The main object of this study was to identify histopathological pattern in both dilation and curettage (D&C) and hysteroctomized sample of women with AUB. A total of four hundred and five cases presented with AUB who was admitted for abdominal hysterectomy or D&C through the year 2022 period. This study relied on Hospital reports, history, examination of samples and adnexa after hysterectomy were sent for histopathalogical study. The histopathological results varies with age and parity in both types of samples. The results in this study showed that the highest percentage of abnormal uterine bleeding related with age group 41-50 years (72.8%), while the lowest percentage with age group above 50 year (12.3%). uterine Fibroid (cellular Leiomyoma) was the most common histopathological findings (24%) especially in 41-50 age group, and the lowest percentage with Leiomyosarcoma (0.2%) and Endometrial carcinoma (1.2 %). The finding from this study concluded that cellular Leiomyoma formed the popular of total samples that attend the hospital for hysterectomy followed by Hyperplasia without atypia (17.5%). There was some cervical lesion distributed as Nabothian cyst (12.5%), chronic cystic cervicitis (11.3%) and endocervical polyp (2.2%).