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Research Paper | Gynaecology | India | Volume 12 Issue 3, March 2023
Categorization of Peri - Menopausal Women with AUB according to PALM - COEIN FIGO Classification
Sanafarheen Z. Magi | Vidya A. Thobbi [3]
Abstract: Background: The most prevalent menstruation symptom during perimenopause is abnormal uterine bleeding (AUB). The working group on menstrual disorders of the International Federation of Gynaecology and Obstetrics has created a categorization system (PALM - COEIN) for causes of AUB in non - gravid women. The present study was undertaken to categorize perimenopausal women with AUB according to the PALM - COEIN classification. Material and methods: The present prospective observational study was conducted on n=300 perimenopausal women. A detailed history and clinical examination were performed in all patients and clinical diagnosis was assessed as per PALM - COEIN classification. Results: The majority of the patients were of the 45 - 50 years of age group (47%) followed by 40 - 45 years (41%) and >50 years (12%). Hypertension was found in 20% of patients whereas, diabetes mellitus, obesity, and thyroid disorders were seen in 14%, 10%, and 5% of patients respectively. Heavy menstrual bleeding was the predominant symptom present in 62% of patients followed by irregular bleeding (22.33%), frequent menses (12.33%), and intermenstrual spotting (3.33%). In 28.33% of patients, the clinical diagnosis was leiomyoma followed by ovulatory (22.67%) and endometrial cause (20.67%). Conclusion: PALM - COEIN classification was found to be effective in the categorization of etiological factors related to the AUB in perimenopausal women.
Keywords: Abnormal uterine bleeding, Adenomyosis, Leiomyoma, PALM - COEIN, Perimenopause
Edition: Volume 12 Issue 3, March 2023,
Pages: 1335 - 1337