Abnormal uterine bleeding: Terminology, FIGO classification and management

Roxana Elena Bohîlțea, Nicolae Bacalbaşa, Irina Bălescu, Mihai Mitran, Tiberiu Augustin Georgescu, Corina Grigoriu, Consuela-Mădălina Gheorghe, Ioana Teodora Vladareanu, Costin Berceanu
In: Romanian Medical Journal · 2021 · vol. 68(S6) , pp. 49–59 · doi:10.37897/rmj.2021.s6.8 · W4285314371
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This paper reviews terminology and the FIGO classification for abnormal uterine bleeding, a common gynecological symptom in reproductive-aged women, and discusses its management.

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Abstract

Throughout the history of medicine, a wide range of terms has attempted to define normal menstruation and abnormal uterine bleeding in relation to its various etiologies. Over time, terminological variations have hampered the documentation of symptoms, the establishment of consensus on the use of various diagnostic techniques and medical or surgical methods of treatment, and the results of multicenter or multinational clinical trials. Abnormal uterine bleeding (AUB) in women of reproductive age is a common gynecological symptom outside of pregnancy, which includes any symptomatic variation starting from the criteria defining normal menstruation, respectively variations in frequency, regularity, duration, or volume, including intermenstrual bleeding, formerly known as spotting. Abnormal intermenstrual bleeding is typically associated with benign lesions such as chronic cervicitis or cervical or endometrial polyps, although it can rarely be caused by cervical or endometrial cancers. Abnormal uterine bleeding in postmenopause requires endometrial biopsy.

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