刮宫内膜组织常有，诊断却并不容易。

个人觉得不是分泌了。

 Inactive endometrium with tubal metaplasia and ?stromal breakdown.  The clear cells are peg cells in tubal metaplasia.  Some cells show cilia.  I don't see miotoses in glands or stroma, cannot call it proliferative.  No cytoplasmic secretory vacuoles---not early secretory phase; glands are small and tubular without abundan luminal secretion and no stromal edema---not mid secretroy; no spiral arterieoles and stroma not predecidualized---not late secretory.  Secretory phase has distinct morphologic features depending on which day(s) of the secretory phase (also called luteal phase, post-ovulatory phase)

This kind of endometrium is common in perimanopausal women.  Tubal metaplasia is usually caused by persistent estrogen stimulation, she probably hasn't ovulated for more than a cycle.

非活动性子宫内膜内膜伴输卵管化生及可疑间质崩解。透明细胞是输卵管化生中的闰细胞。部分细胞有纤毛。腺体及间质内未看到核分裂，不能称之为增生。无胞浆内的分泌空泡——不是早分泌期；腺体小且呈管状没有丰富的腔内分泌及间质水肿——不是中分泌期。分泌期按照分泌期的天数有明显的形态特征（分泌期也称黄体期，排卵后期）。

这种子宫内膜常见于围绝经期女性。输卵管化生常由持续的雌激素刺激引起，患者可有一个或更多的无排卵的月经周期。

图片比较漂亮，这例子可能是常规工作中较常见、也较令人困惑的。既不是典型的增殖期或分泌期内膜，也不是增生症内膜。正像yumingfu老师所言，这是围绝经期最常见的内膜，有化生性改变（纤毛细胞）、有增生改变（核长圆形、假复层排列）、还有分泌改变（核圆形，排列稀疏、局部可以看到核下分泌空泡），又有出血。说明患者激素水平处于紊乱状态。

 Agree the women may have no ovulated cycle,激素水平处于紊乱状态 .

I would call disordered proliferative endometrium (DPE) with stromal breakdown.