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The Histopathological changes of 100 Endometrial curetting and 100 uteri in patients of excessive uterine bleeding in our population at Sandeman Provincial Hospital Quetta were studied. Chronic Endometritis (7%) and the cystic Hyperplasia (9%) were the most important causes of excessive uterine bleeding in endometrial curetting. The patients with abnormal uterine bleeding were mostly post menopausal. No case of endometrial carcinoma was diagnosed in this series. The Histological study of hysterectomy specimen revealed multiple leiomyomas (67%) and adenomyosis (17%) as the commonest causes of uterine bleeding. Three cases of leiomyosarcoma were diagnosed suggesting a lower frequency of uterine malignancy in our country.