The FIGO classification of causes of abnormal uterine bleeding in the reproductive years

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The FIGO PALM-COEIN system provides a standardized classification for the causes of abnormal uterine bleeding in reproductive-aged women, addressing previous nomenclature inconsistencies.

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Abstract

At this juncture, clinical management, education for medical providers, and the design and interpretation of clinical trials have been hampered by the absence of a consensus system for nomenclature for the description of symptoms as well as classification of causes or potential causes of abnormal uterine bleeding (AUB). To address this issue, the Fédération Internationale de Gynécologie et d'Obstétrique (FIGO) has designed the PALM-COEIN (Polyp, Adenomyosis, Leiomyoma, Malignancy and Hyperplasia, Coagulopathy, Ovulatory Disorders, Endometrial Disorders, Iatrogenic Causes, and Not Classified) classification system for causes of AUB in the reproductive years.

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Condition tags

adenomyosis

MeSH descriptors

Aging Reproduction Terminology as Topic Uterine Hemorrhage Uterine Hemorrhage Age Factors Female Humans International Agencies Practice Guidelines as Topic Pregnancy Risk Assessment Risk Factors Uterine Hemorrhage Uterine Hemorrhage

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europepmc
last seen: 2026-09-06T09:34:12.023084+00:00
pubmed
last seen: 2026-05-13T22:16:48.482574+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
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