Categorization of patients with abnormal uterine bleeding according to PALM-COEIN FIGO classification

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dc.contributor.authorTater, Arihanten_US
dc.contributor.authorJain, Prakashen_US
dc.contributor.authorSharma, Kamal Nayanen_US
dc.date.accessioned2020-10-16T08:00:57Z
dc.date.available2020-10-16T08:00:57Z
dc.date.issued2019-12
dc.description.abstractBackground: Abnormal uterine bleeding is a common problem of the women in the reproductive age group and leads to the frequent visits of women in hospitals to health care providers. In an effort to create a universally accepted system of nomenclature to describe uterine bleeding abnormalities in reproductive-aged women, an alternative classification system polyp, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not yet classified, known by the acronym PALM-COEIN developed.Methods: It is a retrospective study on 200 patients of abnormal uterine bleeding to categorize them on the basis of PALM-COEIN classification. Patient grouped under these categories after detailed history, examination, investigations and histopathological reports.Results: Ovulatory dysfunction was the most common cause of AUB in patients presenting to the gynecology outpatient department (n=60, 30%). It was followed by leiomyoma (n=48, 24%) and endometrial causes (n=38, 19%) and were the top three etiologies for AUB respectively. Adenomyosis (n=26, 13%), not classified (n=12, 6%), iatrogenic (n=8, 4%), polyp (n=4, 2%) and malignancy and coagulopathy each (n=2, 1%) contributing least to the PALM-COEIN classification as an etiology for AUB.Conclusions: PALM-COEIN classification is a universally accepted and consistent method of knowing exact etiology following investigations, so the proper treatment can be done for AUB.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Government Medical College, Dungarpur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, RNT Medical College Udaipur, Rajasthan, Indiaen_US
dc.identifier.citationTater Arihant, Jain Prakash, Sharma Kamal Nayan. Categorization of patients with abnormal uterine bleeding according to PALM-COEIN FIGO classification. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Dec; 8(12): 4783-4785en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207240
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber12en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20195320en_US
dc.subjectAbnormal uterine bleedingen_US
dc.subjectAdenomyosisen_US
dc.subjectLeiomyomaen_US
dc.subjectOvulatory dysfunctionen_US
dc.subjectPALM-COEINen_US
dc.subjectPolypen_US
dc.titleCategorization of patients with abnormal uterine bleeding according to PALM-COEIN FIGO classificationen_US
dc.typeJournal Articleen_US
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