This is a book written on a work basically done to check the efficacy of conventional pap smear to detect endometrial cells in abnormal uterine bleeding cases and to compare the findings to the gold standard histo-pathology. Samples were also collected from the same patients in liquid based medium and smears were prepared by manual processing so that the obscuring factor like hemorrhage and inflammation got cleared.Results were analysed and compared.Without the knowledge of proper history, presence of endometrial cells can not be ignored at any age specially at elderly people. With the implementation of manual liquid based cytology, we introduce a cost-effective screening method to observe morphology against clear background in economically constraint setup.