Title: A Clinico-Pathological Analysis of Causes of Abnormal Uterine Bleeding According to PALM –COEIN Classification: Study based in a Rural Teaching Hospital of Central India

Authors: Rekha Ratnani, Naik Meena

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i9.138

Abstract

Aim

To study various causes of AUB and classify them according to new FIGO system of PALM COEIN classification.

Introduction

Abnormal Uterine Bleeding (AUB) is a significant debilitating clinical condition and affects 14-25% of women of reproductive age and up to 50% of perimenopausal women.(1-3)

Abnormal uterine bleeding (AUB) may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy [4,5].

References

  1. Fraser IS, Langham S, Uhl-Hochgraeber K. Health-related quality of life and economic burden of abnormal uterine bleeding. Expert Rev Obstet Gynecol. 2009;4:179-89.
  2. Shapley M, Jordan K, Croft PR. An epidemiological survey of symptoms of menstrual loss in the community. Br J Gen Pract. 2004;54:359-63.
  3. Hoffman BL. Williams Gynecology. 2nd ed. p.a Mc Graw Hill;2012:219-40. )
  4. ACOG Committee on Practice Bulletins – Gynecology. ACOG Practice Bulletin No 108: Polycystic ovary syndrome. Obstet Gynecol 2009; 114:936-49.
  5. Committee on Practice Bulletins—Gynecology. Practice bulletin no. 128: Diagnosis of abnormal uterine bleeding in reproductive-aged women. Obstet Gynecol 2012; 120(1):197-206.
  6. Munro MG, Critchley HO, Broder MS, Fraser IS, FIGO Working Group on Menstrual Disorders System. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynecol Obstet. 2011;113(1):3-13.
  7. Fraser IS, Critchley HO, Broder M, Munro MG. The FIGO recommendations on terminologies and definitions for normal and abnormal uterine bleeding. Semin Reprod Med. 2011;29(5):383-90.
  8. Woolcock JG, Critchley HO, Munro MG, Broder MS, Fraser IS. Review of the confusion in current and historical terminology and definitions for disturbances of menstrual bleeding. Fertil Steril. 2008;90(6):2269-80.
  9. Munro MG, Critchley HO, Broder MS, Fraser IS; FIGO Working Group on Menstrual Disorders. FIGO classification system (PALMCOEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet 2011; 113(1):3-13.00
  10. Goel and Rathore , PALM-COEIN FIGO Classification for diagnosis of Abnormal Uterine Bleeding: Practical Utility of same at Tertiary Care Centre in North India; Sch. J. App. Med. Sci., 2016; 4(8A):2771-2773
  11. Khrouf M, Terras K; Diagnosis and management of formerly called ―dysfunctional uterine bleeding‖ according to PALM-COEIN FIGO classification and the newguidelines. JObstet Gynaecol India 2014; 64:388-93.
  12. Madhra M, Fraser IS, Munro MG, Critchley HO;Abnormal uterine bleeding: Advantages of formal classification to patients, clinicians and researchers. Acta Obstet Gynecol Scand 2014; 93:619-25
  13. Bahamondes L, Ali M; Recent advances in managing and understanding menstrual disorders.F1000 Prime Rep 2015; 7:33.
  14. Qureshi FU, Yususf AW; Distribution of causes of abnormal uterine bleeding using the new FIGO classification system. J Pak Med Assoc 2013: 63:974.
  15. Gouri S.R.S, Lakshmi P.V, Rani N.G, Kumar N.A;Categorization of the Causes of AUB According to PALM-COEIN Classification 107 International Journal of Scientific Study, 2016; 4(2).
  16. Taran FA, Weaver AL, Coddington CC, Stewart EA. Characteristics indicating adenomyosis coexisting with leiomyomas: a case control study. Hum Reprod. 2010;1177-82.
  17. Kalpana Bethaet al . Distribution of causes of abnormal uterine bleeding using new FIGO classification system-PALM COEIN: a rural tertiary hospital based study; International Journal of Reprod-uction, Contraception, Obstetrics and Gynecology. 2017 Aug;6(8):3523-3527
  18. Jonathan AA, Saravanan S. A two year clinicopathological study of non-gravid women with abnormal uterine bleeding in a rural tertiary care centre in Tamilnadu: in concurrence with the Figo recommend-dations. J Evol Med Dental Sci. 2015;4(63):10990-1001.

Corresponding Author

Naik Meena

Asst Prof, Dept of Obgyn,

CCM Medical College, Durg, CG