Chagalmarai Amulya1, Paidi Durga Kumari2, Thadepalle Nagamani3, Jyothsna Yernagula4
There is general inconsistency in the nomenclature used to describe abnormal uterine bleefing(AUB) in addition to a plethora of potential causes, which may coexist in an individual to develop consistent and universally accepted classification system to facilitate clinicians for better communication, clinical care and research.
The aim of the study is to study the analysis of AUB cases grouped under FIGO PALM-COEIN Classification System.
MATERIALS AND METHODS
A retrospective study of 100 women presenting with AUB admitted in Gynaecology Department, KGH, during 2015-2016 were studied. Women of reproductive, peri and postmenopausal age group presented with excessive or prolonged bleeding are analysed according to PALM-COEIN classification system.
Inclusion Criteria- AUB of reproductive, peri and postmenopausal woman.
Exclusion Criteria- Pregnancy-related complications, cervical and vaginal lesions.
In our study, most of the cases have combined causes. Structural causes- PALM group- 82%; non-structural- COEIN group- 9%, coexistent- 9%. The present study is compared with Khrouf et al, Munro et al, Madhra et al, Bahamondes and Ali. Most of the patients are in AUB-L, AUB-A and in the age group of 40-49 years (42.33%), common presenting complaint was heavy menstrual bleeding (62%). Qureshi and Yusuf in 2013, AUB-L- 25%, AUB-O -24%. Gouri et al in May 2016, AUB-O is 27% and AUB-L is 24%.
PALM-COEIN classification is simple and feasible and encourages focus on optimal approach to modern management, clinical teaching and research.