This document summarizes a study on abnormal uterine bleeding in pre-menopausal women. The study examined 3006 endometrial samples from women aged 30 to 50 who presented with abnormal uterine bleeding. It found that the rate of atypical hyperplasia and carcinoma increased with each successive 5-year age group, with the highest rates occurring in women aged 45-50. Specifically, atypical hyperplasia was 3.85 times more likely and carcinoma was 4.03 times more likely in women aged 45-50 compared to those under 40. While abnormal growths can occur under age 40, the study supports guidelines recommending endometrial sampling for women over 45 presenting with abnormal uterine bleeding.