Introduction: The problem of unexplained vaginal bleeding is perhaps the most troublesome of the postmenopausal period. Postmenopausal bleeding is vaginal bleeding anytime after 12 months of amenorrhoea in a woman of menopausal age group. Hence, the present study was undertaken to find out the incidence of vaginal bleeding in postmenopausal women attending Gynaecology OPD and to assess the sonological and cytological profile among postmenopausal patients with abnormal uterine bleeding. Materials and Method: The present study was carried out among total 2465 patients who attended Department of Obstetrics and Gynaecology, J.L.N. Hospital and Research Centre, Bhilai, Chhattisgarh with complaints of postmenopausal bleeding over a period of 8 months.Cervical cytology was taken with Ayre’s spatula from the cervix. Scrapings from the endocervix were taken with the help of endobrush. The slides were fixed with 95% ethyl alcohol and sent for cytology. Exfoliative cytology examination was done by the pathologist.Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) Version 16.0. Results: In the present study, postmenopausal bleeding accounted for 4.3% of all the gynecological visits. Age range of the study subjects was 49-72 yrs. Mean of age was 55.63 ± 4.80 years with maximum number of patients between 51-55 years age (55%).Mean age of menopause was 47.48 ± 2.29 years. In maximum number of patients (79%), duration of menopause was between 1-10 years. Duration of menopause is inversely related to incidence of postmenopausal bleeding. In the present study, 24% patients had endometrial thickness >10mm, majority i.e., 47% patients had endometrial thickness between 6.1-10 mm and 29% patients had endometrial thickness 4.1- 6mm. None of the patients had endometrial thickness≤4 mm. Maximum endometrial thickness found was 16mm. Mean endometrial thickness was 8.86 ± 5.682 mm. Conclusion: The present study found the incidence of postmenopausal bleeding to be 4.3%. All perimenopausal women must be educated about postmenopausal bleeding and its pathology and treatment available. Women must be educated about the various screening tools available and encouraged for screening at appropriate time interval.