Aim: The aim of the present study was to assess the histopathological spectrum of endometrium in hysterectomy specimens from cases of abnormal uterine bleeding. Methods: The present prospective study was conducted in the Department of Pathology and Out of 280 hysterectomy specimens, a total of 200 women presenting with AUB on whom hysterectomy was performed for 2 years were studied. Results: AUB was most frequent in women aged 41-50, with 90/200 (45%). Heavy menstrual bleeding affected 60 (30%) of 200 women. Histomorphological findings in 16 postmenopausal haemorrhage instances demonstrated proliferation. Dual endometrial histopathology alterations were found in 4 women. Two ladies had endometrial hyperplasia with chronic endometritis, one had polyp and one had chronic endometritis. Dual results were most common in reproductive age. Conclusion: Women often have abnormal uterine bleeding as they age. Medical therapy and conservative operations are available; however, hysterectomy is the only option for abnormal uterine bleeding in developed nations. Even grossly normal hysterectomy materials should be histopathologically examined independently of the preoperative diagnosis since incidental abnormalities may be identified.