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Women's Health & Gynecology

JWHG

Aabstract

Research Article

Assessment of Patients with Abnormal Uterine Bleeding in the Reproductive Period According to the PALM-COEIN Classification System

Pinar Solmaz Hasdemir, Mustafa Ulusoy, Esat Calik, Ulas Solmaz and Tevfik Guvenal

Correspondence Address :

Pinar Solmaz Hasdemir
Celal Bayar University School of Medicine
Department of Obstetrics & Gynaecology
Manisa, 45000
Turkey
Tel: +(90) 236 444 42 28
Fax:+(90) 236 233 80 40
Email: solmazyildiz@yahoo.com

Received on: February 08, 2016, Accepted on: February 25, 2016, Published on: March 04, 2016

Citation: Pinar Solmaz Hasdemir, Mustafa Ulusoy, Esat Calik, Ulas Solmaz and Tevfik Guvenal (2016). Assessment of Patients with Abnormal Uterine Bleeding in the Reproductive Period According to the PALM-COEIN Classification System

Copyright: 2016 Pinar Solmaz Hasdemir, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Aim: The aim of this study is to assess reproductive-age patients with abnormal uterine bleeding according to the new International Federation of Gynecology and Obstetrics classification system (PALM-COEIN) and practicability of this classification system at a gynecologic out-patient clinic of a tertiary reference center.
Methods: A total of 163 reproductive-age patients experiencing abnormal uterine bleeding were included in this prospective study. Medical history, physical examination, ultrasonography, and any necessary additional imaging techniques were performed according to the PALM-COEIN classification system. The diagnostic value of this new classification system and satisfaction of the resident physicians who used this system were assessed with a questionnaire. 
Results: The median age of the subjects was 30 years (range 13-53). The two most common causes of abnormal uterine bleeding were ovulation dysfunction (69.9%), followed by endometrial etiologies (17.2%). Forty (24.5%) patients were classified in more than one etiology group. Endometrial sampling was performed in 17.2% of patients, and magnetic resonance imaging was performed in two patients. Medical treatment was administered to 53.9% of the patients. A questionnaire among resident physicians (n=7) revealed that this system is practical and easy to use.
Conclusion: The PALM-COEIN classification is a practical way of determining the etiology and choosing the appropriate treatment modality in patients with abnormal uterine bleeding in out-patient clinic.
Keywords: Abnormal uterine bleeding, Classification system, Endometrial polyp, FIGO, PALM-COEIN

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