<aside>
Abnormal Uterine Bleeding (AUB) refers to any deviation in menstrual volume, duration, or frequency that is not attributed to pregnancy.
</aside>
Abnormal Uterine Bleeding (AUB) - Menorrhagia & Heavy Menstrual Bleeding | (Including Mnemonic!)
https://www.youtube.com/watch?v=Im7csocMDcM
https://youtu.be/6UdQH1Do_aY?si=psqSK4WiVEkWKNMV
https://youtu.be/WEhiA97tMTg?si=RkLJ_iYsrrJwiREU
https://www.youtube.com/watch?v=6CJeedrmTt8
It includes:
FIGO: PALM-COEIN system
| Structural (PALM) | Non-structural (COEIN) |
|---|---|
| P – Polyp | C – Coagulopathy |
| A – Adenomyosis | O – Ovulatory dysfunction |
| L – Leiomyoma | E – Endometrial causes |
| M – Malignancy & hyperplasia | I – Iatrogenic |
| N – Not yet classified |
| Step | Assess for |
|---|---|
| History & exam | Age, bleeding pattern, pain, medical history |
| Pregnancy test | Rule out pregnancy-related bleeding |
| CBC, TSH, coagulation | Anemia, thyroid dysfunction, bleeding disorders |
| Pap smear/HPV testing | Cervical pathology |
| Endometrial sampling | If age >45 or risk factors for endometrial cancer |