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Monday, June 13, 2011

Abnormal Uterine Bleeding (AUB) - PALM-COEIN classification

This is a new classification for abnormal bleeding in a non pregnant woman of reproductive age group. It stands for :
P - Polyp
A- Adenomyosis
L- Leiomyoma
M- Malignancy/ Hyperplasia

C- Coagulopathy
O- Ovulatory dysfunction
E- Endometrial causes
I- Iatrogenic
N- Not classified causes.

The classification is as such since the first 4 ones i.e. PALM can be diagnosed and measured directly by inspection or imaging techniques. The other ones need investigations other than imaging in most cases to reach a diagnosis.

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