Role of hysteroscopy in categorization of abnormal uterine bleeding in a multispecialty hospital in Bahrain

Anita Huparikar, Silky Kothiwal, Sai Ashrita Kanala, Halah Saeed Ahmed Habib, Butchi Raju Akondi
In: Italian Journal of Medicine · 2024 · vol. 18(1) · doi:10.4081/itjm.2024.1692 · W4391105910
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective study evaluated 110 patients with abnormal uterine bleeding, finding polyps to be the most common structural cause using hysteroscopy and the PALM-COEIN classification system.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This study evaluated the role of hysteroscopy in categorizing causes of abnormal uterine bleeding in a multispecialty hospital in Bahrain, using clinical patients undergoing hysteroscopic assessment and related diagnostic classification. The key finding was that hysteroscopy helped identify and categorize intrauterine pathology contributing to abnormal uterine bleeding, supporting its utility for diagnostic categorization in this hospital setting. A major caveat explicitly implied by such real-world observational categorization work is that results reflect the practice and patient characteristics of a single multispecialty hospital, limiting broader generalizability. Relevance to endometriosis: the paper focuses on abnormal uterine bleeding and hysteroscopic categorization rather than directly evaluating endometriosis or adenomyosis, but it is included in the corpus via keyword match to pelvic uterine pathology topics, with no specific endometriosis/adeno analysis described in the provided text.

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Abstract

Background. Abnormal uterine bleeding is a broad term involving various irregularities of the menstrual cycle. Previously various terms were used to define abnormalities in menstrual bleeding. To create a universally accepted system of nomenclature, the Federation of Obstetrics and Gynecology proposed the new terminology PALM-COIEN. The current study is aimed to classify cases of abnormal uterine bleeding as per PALM-COEIN. Materials and Methods. It is a retrospective, observational study using the data from 110 patients, who underwent hysteroscopic evaluation and endometrial biopsy and were categorized based on PALM-COIEN. Patients were grouped under these categories after detailed history, examination, investigations, hysteroscopic findings, and histopathology. Results. Polyp was the commonest group (n=45, 40.9%) in our study, which was followed by leiomyoma (n=30, 27.27%), ovulatory disturbances (n=28, 25.45%), adenomyosis (n=5, 4.54%), malignancy (n=2, 1.81%) respectively. Conclusions. Hysteroscopic evaluation is a simple and useful tool to find out the structural pathologies of PALM-COIEN classification. Further histopathological confirmation of clinical diagnosis can enhance the diagnosis and treatment modalities.
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Original Articles Vol. 18 No. 1 (2024) Role of hysteroscopy in categorization of abnormal uterine bleeding in a multispecialty hospital in Bahrain Publisher's note All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. Published: 22 January 2024 2584 Views 759 Downloads 255 HTML

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