{"paper_id":"01fb978b-96f9-451e-840d-2482186fa713","body_text":"- Visibility 1k Views\n- Downloads 162 Downloads\n- Permissions\n- CrossMark\n- Citation\nApplication of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients\n- Author Details:\n-\nSharda B Ahmed\n-\nSushma Mogri\nObjective: The aim is to categorize women with AUB as per the PALM-COEIN classification system as this is a step towards cause based diagnosis and focused management of patients. The acronym PALM-COEIN comes from arranging 9 basic categories of the classification system. The PALM group comprises the structural entities, which can be measured visually or by using imaging techniques and histopathology. The COEIN group comprises the non-organic types which cannot be defined by imaging or histopathology.\nMaterials and Methods: The study comprises 350 women of reproductive age with AUB for minimum 3 months time span. It describes and observes AUB in amount, interval and frequency for women attending outpatient Gynae department of AIIMS, Udaipur (Raj) from Nov 16 to Oct 17. They were assessed on the basis of structured history, physical examination, local pelvis examination, investigations, USG findings and endometrial histopathological report. Cause of AUB was determined and treatment was given to the patient as appropriated by categorization done in agreement with the PALM-COEIN classification.\nResults: The most prevalent cause of AUB was ovulatory dysfunction (n=99, 28.2%). Next common cause was leiomyoma (n=90, 25.7%), followed by endometrial causes (n=52, 14.5%), adenomyosis (n=30, 8.5%), not yet classified (n=32, 9.7%), Malignancy & Hyperplasia (n=28, 8.1%), Polyp (n=9, 2.5%), Iatrogenic (n=7, 2.2%) and Coagulopathy (n=1, 0.3%).\nConclusion: The PALM-COEIN classification helps to practically ascertain the cause of AUB, and thereby effectively adopt the correct treatment for AUB patients.\nKeywords: Abnormal uterine bleeding, AUB, Classification system, Polyp leiomyoma, Adenomyosis, Ovulation, Malignancy\nHow to Cite This Article\nVancouver\nAhmed SB, Mogri S. Application of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients [Internet]. Indian J Obstet Gynecol Res. 2018 [cited 2026 Jun 08];5(2):278-281. Available from: https://doi.org/10.18231/2394-2754.2018.0061\nAPA\nAhmed, S. B., Mogri, S. (2018). Application of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients. Indian Journal of Obstetrics and Gynecology Research, 5(2), 278-281. https://doi.org/10.18231/2394-2754.2018.0061\nMLA\nAhmed, Sharda B, Mogri, Sushma. \"Application of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients.\" Indian J Obstet Gynecol Res, vol. 5, no. 2, 2018, pp. 278-281. https://doi.org/10.18231/2394-2754.2018.0061\nChicago\nAhmed, S. B., Mogri, S.. \"Application of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients.\" Indian J Obstet Gynecol Res 5, no. 2 (2018): 278-281. https://doi.org/10.18231/2394-2754.2018.0061","source_license":"CC0","license_restricted":false}