Endometrial Sampling Outcomes in A Tertiary Care Centre: October 2023-October 2024

Objective: We evaluated the association between pathological findings, menopausal status, and indications for endometrial biopsy.Methods: We included 931 patients who underwent endometrial biopsy for various gynaecological indications at our clinic between October 2023-October 2024.Medical data were retrieved from patient records.Patients were evaluated according to age, menopausal status (premenopausal or postmenopausal), endometrial thickness, biopsy indication, and pathological findings.Pathological findings were compared across biopsy indications and menopausal status.Results: The mean age of patients was 47.1±9.1 years, and the mean endometrial thickness was 9.8±5.2mm.Of the total, 695 (74.7%) were premenopausal and 236 (25.3%) were postmenopausal.Menometrorrhagia was the most common indication for biopsy (32.8%) and endometrial polyps were the most frequent histopathological finding (32%).Of the 15 patients diagnosed with malignancy, 2 underwent biopsy for menometrorrhagia and 13 for postmenopausal bleeding; these correspond to 0.7% and 5.7% of the total cohort, respectively.Secretory endometrium, proliferative endometrium, and endometrial polyps were significantly more common in premenopausal women (p