Objectives: To assess the quality of life among perimenopausal women distressing from abnormal uterine bleeding with identifying factors contributing to quality of life. Methods: A descriptive correlational study used three tools – structured interview questionnaire, pictorial blood loss assessment chart, and Short Form (SF36) questionnaire to a purposive sample of 300 women at perimenopause, distressing from abnormal uterine bleeding diagnosed in one of the hospitals in Pampanga, Philippines. Using SPSS v.20, the study applied frequency and percentage, mean and standard deviation, chi-square and probability of errors (p-value) with p ≤ 0.001, and ¬p ≤ 0.05 levels were considered statistically significant, and Pearson product moment correlation coefficient (R). Results: Most participants aged 45 to 50 (xÌ=46.5, SD ± 2.83) years old, married (n=220, 73.3%), and living in urban areas (n=244, 81.3%). Majority experienced heavily soaked pad at their first two days (n=256, 85.3%) and moderately soaked pad at their tenth day (n=174, 58.0%) which led to physical difficulty in work performance (n=296, 98.7%) and limitations to other routine activities (n=300, 100%). A high statistically significant difference between the total quality of life and their marital status (p-value=0.00), and likewise statistically significant difference to level of education (p-value=0.12), and level of education (p-value=0.02) are greatly perceptible. Conclusion: The study revealed a moderate quality of life in women distressing from abnormal uterine bleeding with a negative correlation to menstrual flow. Self-care guidelines development to improve quality of life among perimenopausal women is exceptionally recommended.