Coin in the palm

The FIGO classification of causes of abnormal uterine bleeding in the reproductive years Munro MG et al-for the FIGO Menstrual Disorders Working Group Fertility and Sterility Vol. 95, No. 7, June 2011

Abnormal uterine bleeding FIGO menstrual disorders group Symptom nomenclature described elsewhere Recommends abandonment of terms menorrhagia, metrorrhagia and DUB

AUB Abnormal uterine bleeding – bleeding from the uterine corpus that is abnormal in volume, regularity and/or timming. Chronic- present for the majority of the last 6 months Acute – an episode of sufficient severity to require immediate intervention to prevent further loss Acute may preset in context of existing chronic AUB IMB – bleeds that occur between clearly defined cyclic and predictable menses

PALM COEIN Components are discrete that are measurable visually , by using imaging techniques and /or by using histopathology Entities not defined by imaging or histopathology Examples: Coagulation Ovulatory disorder Endometrial Iatrogenic Not yet classified Examples: Polyp Adenopyosis Leiomyoma Malignancy & hyperplasia

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