Introduction:

Abnormal uterine bleeding is the second cause of gynecological consultation and many times its diagnosis or treatment may be related to oncological diseases or require a surgical approach for treatment require immediate access so the clinical assessment is very important.

Material and methods:

Cross-sectional, observational and retrospective study that evaluated women between the ages of 25-60 years treated at the Ángeles Pedregal Hospital between January 2014 and June 2017 due to abnormal uterine bleeding. They required surgical intervention and a sample was sent for anatomopathological analysis as a diagnostic method.

Results:

We studied 276 cases of women of average age of 42.9 years, of which 39.7% have not presented a pregnancy. 56.23% of the deeds have been resolved by caesarean sections. 47.6% of the surgical interventions were performed by laparoscopy. Of the 261 cases of leiomyoma diagnosed by tissue sample, 91.5% were clinically diagnosed; however, only 11.26% of the cases of adenomatosis were clinically identified.

Conclusion:

Despite advances in diagnostic algorithms and the use of cabinet techniques, anatomopathological diagnosis in abnormal uterine bleeding is vital for an accurate diagnosis.