Uterine bleedings are the bleedings that are expected to occur in certain periods from the menarche to the menopausal period, excluding pregnancy periods, with the organization of the endometrium, which is under the influence of hormones. Bleeding called abnormal uterine bleeding (AUB) is called bleeding with an irregular course in terms of quantity and frequency (2). While AUB is less common in reproductive times, it is more common in perimenopausal times (2). In a patient with AUB, pathologies related to the cause of bleeding should be evaluated. The diagnosis of the underlying pathology is important in terms of determining the treatment. If a pathology is not found as a cause of bleeding as a result of the evaluation, medical treatment options may be preferred. If the response to hormonal or non-hormonal medical treatments does not improve as expected, surgical treatment options may also be tried. Surgical approach is options such as therapeutic curettage, endometrial ablation, hysterectomy, depending on the patient's condition. 20% of patients undergoing hysterectomy procedure are performed with the indication of uterine bleeding that does not respond adequately to medical treatment. 80% of women receiving treatment for menorrhagia do not have an anatomical pathology; therefore, the uterus was found to be anatomically normal in one third of the women who underwent hysterectomy (3). Medical treatment gains importance in preventing the surgical treatments applied and thus the complications developing secondary to these surgeries (4).
A follow-up and treatment scheme is determined according to the result of histopathological sampling.