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Classification of menstrual bleeding disorders
- Source :
- Reviews in Endocrine and Metabolic Disorders. 13:225-234
- Publication Year :
- 2012
- Publisher :
- Springer Science and Business Media LLC, 2012.
-
Abstract
- There exists a spectrum of potential causes of abnormal uterine bleeding (AUB) in nonpregnant reproductive-aged women. In some instances the abnormal bleeding may emanate from definable pathologic entities in the endometrial cavity such as polyps or submucous leiomyomas (fibroids), while in others, it may occur secondary to coagulopathies or disorders of local or systemic hemostasis. If the patient is subjected to a rigorous evaluation more than one potential contributor may be identified, a circumstance that challenges the clinician since entities such as polyps, leiomyomas, and adenomyosis may frequently be asymptomatic, even in women with AUB. The bench or clinical investigator may also be influenced by the existence of the multiplicity of potential causes that could confound the results of research. This paper describes FIGO's (Fédération Internationale de Gynécologie et d'Obstétrique) new PALM-COEIN classification of causes of AUB in the reproductive years (Polyp, Adenomyosis, Leiomyoma, Malignancy and hyperplasia-Coagulopathy, Ovulatory disorder, Endometrial, Iatrogenic, Not yet classified). This system is designed to assist clinicians in the evaluation of patients, investigators in the design and interpretation of research and faculty in the education of medical students and residents/trainees. Additionally, given the longstanding existence of a confusing array of conflicting definitions, the manuscript describes the FIGO standardized terminology for both normal menstruation and AUB symptoms.
- Subjects :
- medicine.medical_specialty
Endocrinology, Diabetes and Metabolism
MEDLINE
Malignancy
Asymptomatic
Clinical investigator
Endocrinology
medicine
Humans
Adenomyosis
Ovarian Diseases
Voluntary Health Agencies
Menstruation Disturbances
Uterine Diseases
Gynecology
Abnormal bleeding
Obstetrics
business.industry
International Agencies
Blood Coagulation Disorders
medicine.disease
Leiomyoma
Vocabulary, Controlled
Hemostasis
Practice Guidelines as Topic
Female
Uterine Hemorrhage
medicine.symptom
business
Subjects
Details
- ISSN :
- 15732606 and 13899155
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Reviews in Endocrine and Metabolic Disorders
- Accession number :
- edsair.doi.dedup.....8e4c7f6b4463a42cb32cd89f33215c63