The perimenopause is a critical time in a menopause that encompasses the change from normal ovulatory cycle to cessation of menses, these are perimenopausal transitional years. Aims and Objective classification in the patients at complaints of excessive per vaginal bleeding and who were in the age group between 37 to 51 years were considered. Also, women complaining of abnormal uterine bleeding per vaginum in some form or other were studied. The study was carried out at over a period of 12

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... s from Jan 2010 to Jan 2011. vaginal examination is performed. According to findings on history and clinical examination provisional clinical diagnosis was made. Later Confirmed by Ultrasonography and Histopathology. present study were between 37 cases (38.67%). DUB was the commonest clinical diagnosis made in perimenopausal patients 66 cases i.e. 44%. Here others include AUB due to thrombocytopenia, iatrogenic causes. As per FIGO ; AUB 21.33%, AUB-M 10.67%, AUB (PALM-COEIN) for Causes of Abnormal Uterine Bleeding classification was very useful in categorizing cases of AUB. It suggests that etiology of AUB and also gives place for presence of multiple factors as cause of AUB in a particular case.