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INTRODUCTION: Abnormal uterine bleeding is a common complaint for which many patients in the perimenopausal age group undergo hysterectomy. The objective of this study is to analyze the causes of AUB in subjects who had hysterectomy. MATERIAL AND METHODS: The pathological specimens from 100 patients who had hysterectomy for AUB between January 2012 and January 2013 were studied based on the gross and microscopic appearance. RESULTS: Leiomyoma alone was the most common cause of AUB (54%) in patients who had hysterectomy. Leiomyoma was associated with adenomyosis in 20% cases and adenomyosis alone was seen in 10%. Endometrial cancer was found in 2% of patients. CONCLUSION: Leiomyoma is the most common indication for hysterectomy in women with AUB between 40 and 50 years. It may occur alone or may be associated with conditions like adenomyosis or endometrial polyps.