title: PALM-COEIN Nomenclature for Abnormal Uterine Bleeding.
abstract: 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.
authors.forename: Angela
authors.initials: A
authors.lastname: Deneris
mesh_terms: D005260:Female; D006801:Humans; D017410:Practice Guidelines as Topic; D009626:Terminology as Topic; D014592:Uterine Hemorrhage / Q000145:classification* / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
keywords: PALM-COEIN; abnormal uterine bleeding; adenomyosis; endometrial cancer; endometrial dysfunction; endometrial intraepithelial neoplasia; leiomyoma; ovarian dysfunction; polyps