Objective: The objectives included evaluation of the role of hysteroscopy in the diagnosis of abnormal uterine bleeding in women of perimenopausal age group and to correlate the hysteroscopic findings with that of histopathology. Methodology: A total of fifty perimenopausal women were subjected to hysteroscopy followed by endometrial sampling for histopathological examination. Results: The age of the subjects ranged from 40 years to 53 years, with a mean of 43.64 years. Most of the women were multiparous and presented with menorrhagia. Hyperplasia (50%) was the most common finding observed on hysteroscopy, followed by a normal hysteroscopic finding (30%).