An international expert consensus from the FIGO Menstrual Disorders Working Group has proposed a standardized classification system for causes of abnormal uterine bleeding (AUB). This classification allows the characterization of more than one etiology in the same patient. There are 9 main categories within the classification system named for the acronym PALM-COEIN. The PALM side refers to structural causes that could be diagnosed and assessed by imaging and/or biopsy. The COEIN side refers to non-structural causes such as underlying medical condition, medication primary endometrial disorder, and others.
Women with what was called ‘dysfunctional uterine bleeding’ may be has primary endometrial disorder or ovulation dysfunction.
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