Abstract
Variations in uterine bleeding, termed abnormal uterine bleeding, occur commonly among women and often are physiologic in nature with no significant consequences. However, abnormal uterine bleeding can cause significant distress to women or may signify an underlying pathologic condition. Most women experience variations in menstrual and perimenstrual bleeding in their lifetimes; therefore, the ability of the midwife to differentiate between normal and abnormal bleeding is a key diagnostic skill. A comprehensive history and use of the PALM-COEIN classification system will provide clear guidelines for clinical management, evidence-based treatment, and an individualized plan of care. The purpose of this Clinical Bulletin is to define and describe classifications of abnormal uterine bleeding, review updated terminology, and identify methods of assessment and treatment using a woman-centered approach.
Highlights
Abnormal Uterine Bleeding (AUB) is the name currently used for changes in menstruation resulting from increased volume, duration, or frequency
We describe the findings using some of these studies separated by the following outcomes: surgical treatment and drug or pharmacological treatment according to the etiologies classified in the PALM-COEIN system proposed by Federation of Gynecology and Obstetrics (FIGO)
The treatments indicated for the different etiologies of AUB will be presented initially for AUB in the presence of structural lesions (PALM), in the absence of lesions (COEIN)
Summary
Abnormal Uterine Bleeding (AUB) is the name currently used for changes in menstruation resulting from increased volume, duration, or frequency.
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