Background: Postmenopausal bleeding is very common with the prevalence of 10%.Various benign and premalignant/malignant causes are associated with it. Hence detailed study on the clinical and histopathological findings in women with PMB are required. Materials & Methods: A prospective observational study done on women with postmenopausal bleeding, at SMGS Hospital over a period of 1 year, in women who were not on any anticoagulants, with the aim of determining the clinical and histopathological findings in women with postmenopausal bleeding and determing the causes of PMB. A total of 120 patients were studied. Observations were tabulated and analysed using appropriate statistical methods (mean and standard deviation, Chi square test), p value <0.05 was taken as significant. Results: 75.83% of the patients presenting with postmenopausal bleeding had benign causes and 24.1% had premalignant or malignant causes. Mean age of presentation being 54.97 ± 5.852 years, mostly seen in multipara, 49.16% of patients presented with complaint of postmenopausal bleeding within 3 years, 35% of the patients of PMB had no risk factor and those with, had hypertension, diabetes, obesity either isolated or in combination. Most common cause of postmenopausal bleeding in our study was endometrial hyperplasia without atypia seen in 34.16% of the patients. Conclusion: Endometrial carcinoma is a common cause of postmenopausal bleeding. therefore all patients with PMB should be evaluated in detail to rule out the mailgnant causes and decrease the burden of the disease.