Application of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 2
Abstract
Objective The aim is to categorize women with AUB as per the PALMCOEIN classification system as this is a step towards cause based diagnosis and focused management of patients The acronym PALMCOEIN comes from arranging 9 basic categories of the classification system The PALM group comprises the structural entities which can be measured visually or by using imaging techniques and histopathology The COEIN group comprises the nonorganic types which cannot be defined by imaging or histopathologyMaterials and Methods The study comprises 350 women of reproductive age with AUB for minimum 3 months time span It describes and observes AUB in amount interval and frequency for women attending outpatient Gynae department of AIIMS Udaipur Raj from Nov 16 to Oct 17 They were assessed on the basis of structured history physical examination local pelvis examination investigations USG findings and endometrial histopathological report Cause of AUB was determined and treatment was given to the patient as appropriated by categorization done in agreement with the PALMCOEIN classificationResults The most prevalent cause of AUB was ovulatory dysfunction n99 282 Next common cause was leiomyoma n90 257 followed by endometrial causes n52 145 adenomyosis n30 85 not yet classified n32 97 Malignancy amp Hyperplasia n28 81 Polyp n9 25 Iatrogenic n7 22 and Coagulopathy n1 03Conclusion The PALMCOEIN classification helps to practically ascertain the cause of AUB and thereby effectively adopt the correct treatment for AUB patientsKeywords Abnormal uterine bleeding AUB Classification system Polyp leiomyoma Adenomyosis Ovulation Malignancy
Authors and Affiliations
Sharda B Ahmed, Sushma Mogri
Keywords
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- EP ID EP475310
- DOI 10.18231/2394-2754.2018.0061
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