DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20212159

Abnormal uterine bleeding: study among patients in a tertiary hospital in Southern Rajasthan

Harshdeep Jadeja, Komal Inani Jhanwar

Abstract


Background: Abnormal uterine bleeding is one of the commonest cases seen in gynecology OPD in the country. The incidence is more commonly seen in late adolescence and perimenopausal group of patients. A fair and objective procedural pattern needs to be adopted to ensure that these patients undergo rapid diagnosis and treatment. The Palm-Coein system is considered as the gold standard. The present study aims to ascertain the efficacy of this system in AUB patient diagnosis.

Methods: The study involved as sample of 120 subjects who came to the OPD of the institute and consented to be a part of the study. The subjects were examined and relevant data pertaining to their diagnosis and management was recorded. The data was analyzed and reported.

Results: The data revealed that menorrhagia was the commonest complaint. The predominant age group was above 40 years, and had a normal radiological profile in most cases. The use of Palm-Coein system proved effective in determining the diagnosis as well setting a procedural mechanism for adequate management.

Conclusions: Palm-Coein is an effective modality for diagnosing and managing AUB cases in a tertiary care set up and can be adopted as a standard practice.


Keywords


Abnormal uterine bleeding, Menorrhagia, Palm-Coein

Full Text:

PDF

References


Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynecol Obste. 2011;113(1):3-13.

Betha K, Malavatu L, Talasani S. Distribution of causes of abnormal uterine bleeding using new FIGO classification system-PALM COEIN: a rural tertiary hospital-based study. Int J Reprod Contracept Obste Gynecol. 2017;6(8):3523-7.

Fraser IS, Critchley HO, Broder M, Munro MG. The FIGO recommendations on terminologies and definitions for normal and abnormal uterine bleeding. Semin Reprod Med. 2011;29(5):383-90.

Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113(1):3-13.

Hallberg L, Hogdahl AM, Nilsson L, Rybo G. Menstrual blood loss- a population study. Variation at different ages and attempts to define normality. Acta Obstet Gynecol Scand. 1966;45:320-51.

Sun Y, Wang Y, Mao L, Wen J, Bai W. Prevalence of abnormal uterine bleeding according to new International Federation of Gynecology and Obstetrics classification in Chinese women of reproductive age: A cross-sectional study. Medicine. 2018;97(31).

Nair R, Mallikarjuna M. Clinical profile of patients with abnormal uterine bleeding at a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2015;4:1753-7.

Kumari A, Kumar R. Abnormal uterine bleeding in peri- menopausal age: An observational study. Indian J Obstet Gynecol Res. 2018;5(4):539-43.

Sinha K, Gurung P, Sinha HH, Bhadani PP. Study on abnormal uterine bleeding among adult women in a tertiary care hospital in Bihar, India. Int J Reprod Contracept Obstet Gynecol. 2018;7:3136-40.

Sreejap A. Distribution of causes and management of abnormal uterine bleeding. Int j curr pharmac clin res. 2018; 8(2): 61-4.

Choudhury SA, Nath P. Abnormal uterine bleeding; its prevalence, causes and management in a tertiary care hospital. N Indian J OBGYN. 2020;7(1):52-7.

Sudha R, Pallavi YSR. Distribution of causes of abnormal uterine bleeding according to polpadenomyosis leiomyoma malignancy and hyperplasia coagulopathy ovulatory dysfunction endometrial latrogenic not yet classified classification in a teritary care center. Inte J Scie Study. 2017;4(10):160-3.

Singh P. Abnormal uterine bleeding-evaluation by endometrial aspiration. J Mid-life Health. 2018;9:32-5.