Diagnosis of abnormal uterine bleeding using PALM COEIN classification and its management: An institutional experience

Authors

  • Chandana Chandregowda Department of OBGYN, Vydehi Institute of medical sciences, Bengaluru
  • Swathi Aswath Reddy Department of OBGYN, Vydehi Institute of medical sciences, Bengaluru
  • Sujatha Datti Department of OBGYN, Vydehi Institute of medical sciences, Bengaluru
  • Shreedhar Venkatesh Department of OBGYN, Vydehi Institute of medical sciences, Bengaluru

DOI:

https://doi.org/10.3126/njog.v16i1.37515

Keywords:

Abnormal uterine bleeding, leiomyoma, ovulatory disorder, PALMCOEIN

Abstract

Aims: Categorization and treatment of abnormal uterine bleeding based on FIGO - PALM COEIN classification system

Methods: A prospective cross-sectional observational study was conducted in the Department of Obstetrics and Gynaecology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru for a period of 1year from January 2019 to December 2019. All cases with abnormal uterine bleeding in 20 - 50 years of age were taken. Clinical details and imaging tests recorded, and categorized by FIGO- PALM COEIN classification for diagnosis and treatment. Statistical Package for Social Sciences version 21 was used to analyse the data and presented as frequencies and percentages.

Results: Out of 300 women of AUB, 190 had structural (PALM) and 110 women had nonstructural (COEIN) aetiology; 138 women among 300 underwent hysterectomy and 20 patients underwent hysteroscopic polypectomy. Levonorgestrel intrauterine device inserted in 40 patients, 85 women were managed medically and 17 women lost to follow-up for further management.

Conclusion: FIGO PALM-COEIN classification system for the diagnosis and treatment of abnormal uterine bleeding was adopted for the uniform standard.

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Published

2021-06-07

How to Cite

Chandregowda, C., Reddy, S. A., Datti, S., & Venkatesh, S. (2021). Diagnosis of abnormal uterine bleeding using PALM COEIN classification and its management: An institutional experience. Nepal Journal of Obstetrics and Gynaecology, 16(1), 38–42. https://doi.org/10.3126/njog.v16i1.37515

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Section

Original Articles