CLINICAL PROFILE OF ABNORMAL UTERINE BLEEDING ACCORDING TO PALM COEIN CLASSIFICATION

Rahul.K; Bindu Menon

Volume : VII, Issue : II, February - 2018

CLINICAL PROFILE OF ABNORMAL UTERINE BLEEDING ACCORDING TO PALM COEIN CLASSIFICATION

Rahul. K, Bindu Menon

Abstract :

OBJECTIVE

To study various causes of abnormal uterine bleeding and group them according to PALMCOEIN classification and thereby aid in deciding the management of various causes.

METHODOLOGY

All those with unpredictable,irregular,excessive duration,abnormal volume,and/or abnormal frequency of menses and intermenstrual bleeding were admitted, underwent structured history,physical examination and imaging studies.

RESULTS:

In our study 59.2% were between 41–50 yrs.Most common cause of AUB was structural ie leiomyoma(38.8%).Most common multiple pathology was AUB A,L(Adenomyosis with leiomyoma)(20.3%).

In 21–40 yrs age group most common cause was AUB–E (36.4%),while in 41–50 and above 50yrs it was AUB–O.

Most common presenting complaint was heavy menstrual bleeding (53.8%),which was common in AUB–A,L(37.8%).In both acute and chronic AUB the most common cause was ovulatory dysfunction .

CONCLUSION:

In our study we concluded that most patients were in 41–50 age group.The commonest clinical presentation was Heavy menstrual bleeding.AUB–O was the most common cause,in COEIN group and in PALM,leiomyoma(AUB–L).Both acute and chronic AUB had ovulatory dysfunction.