Abstract

Introduction: Postmenopausal bleeding (PMB) is a frequent clinical problem, often requiring further exploration because of potential underlying serious conditions such as endometrial carcinoma. The purpose of this investigation is to examine the clinical characteristics and histopathologic findings in postmenopausal women who present with PMB. Results: The mean age at diagnosis was 56 years; two-thirds had a MacCann-Erickson type IV endometrium on Pipelle biopsy. This study was conducted to assess histopathological patterns in women with complaints of postmenopausal bleeding. Methods: This cross-sectional study was conducted on 100 postmenopausal women with PMB. We collected and analyzed data about the demographics, clinical presentation, and histopathologic findings. We also performed statistical analyses to determine what associations were significant. Results: The average age of participants: was 58.01 years old The majority of the respondents (97%) were females and among them 77% were housewives. A large part lived in rural areas (63%). Among all identified histopathologic findings, thin endometrial lining (49%) and thickened endometrium due to hormonal imbalance & suspicious for carcinoma (20%), a large portion consisted of ovulatory phase. The histopathologic findings correlated significantly with different clinical features. Conclusion: The present study underscores the variety of histopathological pictures in postmenopausal women presenting with PMB. The findings emphasize the critical need for a sober, wide-ranging diagnostic process in this population as part of clinical decision-making.