1. Coin in the palm

2. 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

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

4. 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

7. 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

12. Thank you