PALM-COEIN FIGO Classification for diagnosis of Abnormal Uterine Bleeding: Practical Utility of same at Tertiary Care Centre in North India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: In an effort to create a universally accepted system of nomenclature to describe uterine bleeding abnormalities, 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, was published in 2011 by the International Federation of Gynecology and Obstetrics. The PALM-COEIN system classifies uterine bleeding abnormalities by bleeding pattern and etiology.The purpose of this study is to categorize 300 women with AUB presenting to the Gynaecology outpatient department (OPD) of Mahatma Gandhi Medical college and Hospital, Jaipur according to PALM-COEIN classification system.It is a retrospective study carried out on 300 patients presenting with complaint of abnormal uterine bleeding. They were evaluated on the basis of history, physical and local examination, USG pelvis, endometrial biopsy if required and other necessary investigations. Categorization was done according to the PALM-COEIN FIGO Classification and then the required treatment was given to the patient.After classifying the patients according to PALM-COEIN classification, it was found that ovulatory dysfunction was the most common cause of AUB in patients presenting to the Gynecology OPD (n=85, 28.33%). It was followed by leiomyoma (n= 68, 22.67%), endometrial causes (n= 62, 20.66%), adenomyosis (n=28, 9.33%), not classified (n = 25, 8.33%), iatrogenic (n= 13, 4.33%), malignancy, polyp (n = 8, 2.66%) and coagulation abnormalities contributing least to the classification (n= 3, 1%).Standardization of related terminology, a systematic approach to diagnosis and investigation, and a step-wise approach to intervention is necessary. Keywords:Abnormal uterine bleeding, uterine polyp, leiomyoma, ovulation.
Authors and Affiliations
Priyanka Goel, Samta Bali Rathore
Keywords
Related Articles
- EP ID EP371864
- DOI -
- Views 53
- Downloads 0
Osmotic Fragility Index and Stability of Human Erythrocytes in the Presence of Four Oral Antiretroviral Drugs
The relative stability of human erythrocyte membrane in the presence of four oral antiretroviral drugs was investigated in vitro. Blood collected by venipuncture from 60 confirmed healthy humans were used for the study....
Maternal and perinatal outcome in induction of labour: A comparative study
Abstract: Labour induction should be performed where benefit out weights potential harm. However, it is not always without risk. The objective of our study was comparative analysis of fetomaternal outcome associated with...
Upper Biliary Confluence: Merging Pattern and Disposition Associated with Main Plane of Liver Functional Division
The aim of this study was to establish the merging patterns and dispositions of upper biliary confluence and to compare our findings with those of other investigators as applied to liver transplantation. We put our empha...
Clinicopathological Study of Hodgkin Lymphoma over a Period of Three Years, From a Tertiary Cancer Centre in an Indian Setup
Abstract: Hodgkin lymphoma is a lymphoproliferative malignancy. Originally described by Thomas Hodgkin in 1982..Epidemiological, trend followed by Hodgkin lymphoma is different in developed countries from that compared t...
Role of Micronutrient Zinc in Pulmonary Tuberculosis
Addressing malnutrition is among the many challenges in the effective control of tuberculosis. The nutritional status of micronutrients is poorly standardized. Zinc being one of the most vital micronutrients, it is taken...