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PALM‐COEIN Nomenclature for Abnormal Uterine Bleeding
Author(s) -
Deneris Angela
Publication year - 2016
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1111/jmwh.12440
Subject(s) - dysfunctional uterine bleeding , etiology , metrorrhagia , medicine , uterine bleeding , palm , gynecology , obstetrics and gynaecology , nomenclature , menstruation , obstetrics , general surgery , endometrium , family planning , pregnancy , pathology , biology , taxonomy (biology) , population , physics , botany , environmental health , quantum mechanics , research methodology , genetics
Approximately 30% of women will experience abnormal uterine bleeding (AUB) during their life time. Previous terms defining AUB have been confusing and imprecisely applied. As a consequence, both clinical management and research on this common problem have been negatively impacted. In 2011, the International Federation of Gynecology and Obstetrics (FIGO) Menstrual Disorders Group (FMDG) published PALM‐COEIN, a new classification system for abnormal bleeding in the reproductive years. Terms such as menorrhagia, menometrorrhagia, metrorrhagia, dysfunctional uterine bleeding, polymenorrhea, oligomenorrhea, and uterine hemorrhage are no longer recommended. The PALM‐COEIN system was developed to standardize nomenclature to describe the etiology and severity of AUB. A brief description of the PALM‐COEIN nomenclature is presented as well as treatment options for each etiology. Clinicians will frequently encounter women with AUB and should report findings utilizing the PALM‐COEIN system.