Abnormal Uterine Bleeding
Abstract Abnormal uterine bleeding is a frequent condition in Gynecology. It may impact physical, emotional sexual and professional aspects of the lives of women, impairing their quality of life. In cases of acute and severe bleeding, women may need urgent treatment with volumetric replacement and p...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2017-07-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbgo/v39n7/0100-7203-rbgo-39-07-00358.pdf |
| _version_ | 1819003140823842816 |
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| author | Cristina Laguna Benetti-Pinto Ana Carolina Japur de Sá Rosa-e-Silva Daniela Angerame Yela José Maria Soares Júnior |
| author_facet | Cristina Laguna Benetti-Pinto Ana Carolina Japur de Sá Rosa-e-Silva Daniela Angerame Yela José Maria Soares Júnior |
| author_sort | Cristina Laguna Benetti-Pinto |
| collection | DOAJ |
| description | Abstract Abnormal uterine bleeding is a frequent condition in Gynecology. It may impact physical, emotional sexual and professional aspects of the lives of women, impairing their quality of life. In cases of acute and severe bleeding, women may need urgent treatment with volumetric replacement and prescription of hemostatic substances. In some specific cases with more intense and prolonged bleeding, surgical treatment may be necessary. The objective of this chapter is to describe the main evidence on the treatment of women with abnormaluterinebleeding, both acuteand chronic.Didactically,thetreatmentoptions were based on the current International Federation of Gynecology and Obstetrics (FIGO) classification system (PALM-COEIN). The etiologies of PALM-COEIN are: uterine Polyp (P), Adenomyosis (A), Leiomyoma (L), precursor and Malignant lesions of the uterine body (M), Coagulopathies (C), Ovulatory dysfunction (O), Endometrial dysfunction (E), Iatrogenic (I), and Not yet classified (N). The articles were selected according to the recommendation grades of the PubMed, Cochrane and Embase databases, and those in which the main objective was the reduction of uterine menstrual bleeding were included. Only studies written in English were included. All editorial or complete papers that were not consistent with abnormal uterine bleeding, or studies in animal models, were excluded. The main objective of the treatment is the reduction of menstrual flow and morbidity and the improvement of quality of life. It is important to emphasize that the treatment in the acute phase aims to hemodynamically stabilize the patient and stop excessive bleeding, while the treatment in the chronic phase is based on correcting menstrual dysfunction according to its etiology and clinical manifestations. The treatment may be surgical or pharmacological, and thelatterisbasedmainlyonhormonaltherapy,anti-inflammatorydrugsandantifibrinolytics. |
| first_indexed | 2024-12-20T23:16:16Z |
| format | Article |
| id | doaj.art-41ed82d399a84fb995ef681b2ff3dfbb |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-12-20T23:16:16Z |
| publishDate | 2017-07-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-41ed82d399a84fb995ef681b2ff3dfbb2022-12-21T19:23:38ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032017-07-0139735836810.1055/s-0037-1603807Abnormal Uterine BleedingCristina Laguna Benetti-PintoAna Carolina Japur de Sá Rosa-e-SilvaDaniela Angerame YelaJosé Maria Soares JúniorAbstract Abnormal uterine bleeding is a frequent condition in Gynecology. It may impact physical, emotional sexual and professional aspects of the lives of women, impairing their quality of life. In cases of acute and severe bleeding, women may need urgent treatment with volumetric replacement and prescription of hemostatic substances. In some specific cases with more intense and prolonged bleeding, surgical treatment may be necessary. The objective of this chapter is to describe the main evidence on the treatment of women with abnormaluterinebleeding, both acuteand chronic.Didactically,thetreatmentoptions were based on the current International Federation of Gynecology and Obstetrics (FIGO) classification system (PALM-COEIN). The etiologies of PALM-COEIN are: uterine Polyp (P), Adenomyosis (A), Leiomyoma (L), precursor and Malignant lesions of the uterine body (M), Coagulopathies (C), Ovulatory dysfunction (O), Endometrial dysfunction (E), Iatrogenic (I), and Not yet classified (N). The articles were selected according to the recommendation grades of the PubMed, Cochrane and Embase databases, and those in which the main objective was the reduction of uterine menstrual bleeding were included. Only studies written in English were included. All editorial or complete papers that were not consistent with abnormal uterine bleeding, or studies in animal models, were excluded. The main objective of the treatment is the reduction of menstrual flow and morbidity and the improvement of quality of life. It is important to emphasize that the treatment in the acute phase aims to hemodynamically stabilize the patient and stop excessive bleeding, while the treatment in the chronic phase is based on correcting menstrual dysfunction according to its etiology and clinical manifestations. The treatment may be surgical or pharmacological, and thelatterisbasedmainlyonhormonaltherapy,anti-inflammatorydrugsandantifibrinolytics.http://www.scielo.br/pdf/rbgo/v39n7/0100-7203-rbgo-39-07-00358.pdfPALM-COEINabnormal uterine bleedingheavy menstrual bleedingdysfunctional uterine bleedingmenorrhagia |
| spellingShingle | Cristina Laguna Benetti-Pinto Ana Carolina Japur de Sá Rosa-e-Silva Daniela Angerame Yela José Maria Soares Júnior Abnormal Uterine Bleeding Revista Brasileira de Ginecologia e Obstetrícia PALM-COEIN abnormal uterine bleeding heavy menstrual bleeding dysfunctional uterine bleeding menorrhagia |
| title | Abnormal Uterine Bleeding |
| title_full | Abnormal Uterine Bleeding |
| title_fullStr | Abnormal Uterine Bleeding |
| title_full_unstemmed | Abnormal Uterine Bleeding |
| title_short | Abnormal Uterine Bleeding |
| title_sort | abnormal uterine bleeding |
| topic | PALM-COEIN abnormal uterine bleeding heavy menstrual bleeding dysfunctional uterine bleeding menorrhagia |
| url | http://www.scielo.br/pdf/rbgo/v39n7/0100-7203-rbgo-39-07-00358.pdf |
| work_keys_str_mv | AT cristinalagunabenettipinto abnormaluterinebleeding AT anacarolinajapurdesarosaesilva abnormaluterinebleeding AT danielaangerameyela abnormaluterinebleeding AT josemariasoaresjunior abnormaluterinebleeding |