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.

Downloads

Download data is not yet available.
Abstract
164
PDF
300

Downloads

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

Issue

Vol. 16 No. 1 (2021)

Section

Original Articles

License

Copyright (c) 2021 Chandana chandregowda, Swathi Aswath Reddy, Sujatha Datti, Shreedhar Venkatesh

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s).

The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher.

Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)

This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.