AnAnn. Pak. Inst. Med. Sci. 2011; 7(3): 160-162            

Objective: To determine histopathologic pattern of lesions associated with menorrhagia in different age groups.
Study Design: Descriptive Study
Place and duration: This study was carried out at the pathology department, Railway hospital, Islamic International Medical College trust Rawalpindi, from Jan 2008-Dec 2009
Materials and Methods: Ninety three abdominal hysterectomy cases done for the treatment of menorrhagia, were included in the study. An exclusion criterion was vaginal hysterectomies, abdominal hysterectomies done for complaints other than menorrhagia and malignancies. A minimum of two sections were taken from the cervix, two from uterine corpus, one section each from leiomyomas. Polyps were submitted entirely. Sections (3-5 µ), stained with hematoxylin and eosin (H&E) stain were microscopically examined and reported.
Results: Fifty one percent (n=47) of patients belonged to the 41-50 years age group. 44% (n=42) were from 30-40 years age group and 5% (n=4) were from 51-60 yrs age group. 39% cases (n=36) showed leiomyomas, followed by adenomyosis, 19% (n=18). 5% cases (n=4) showed dual pathology consisting of both leiomyomas and adenomyosis. In 22% of cases (n=20), no gross or microscopic abnormality was detected.
Conclusion: Uterine fibroids and adenomyosis are the most common benign conditions found in hysterectomy specimens with peak incidence at 41-50 years. Histopathology is mandatory for confirming diagnosis.
Key Words: Key words: hysterectomy, menorrhagia, histopathology.