Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification
Introduction:The PALM-COEIN classification, described and recently published by the International Federation of Gynecology and Obstetrics (FIGO), allows epidemiological information in women with abnormal uterine bleeding, as well as thorough assessment and proper management. We aimed to classify pat...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-09-01
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| Series: | İstanbul Medical Journal |
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http://imj.galenos.com.tr/archives/archive-detail/article-preview/evaluation-of-the-patients-with-abnormal-uterine-b/30569
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| _version_ | 1828014889588752384 |
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| author | Nihan İlhan Oruç Hale Göksever Çelik Nermin Gündüz Gökhan Yıldırım |
| author_facet | Nihan İlhan Oruç Hale Göksever Çelik Nermin Gündüz Gökhan Yıldırım |
| author_sort | Nihan İlhan Oruç |
| collection | DOAJ |
| description | Introduction:The PALM-COEIN classification, described and recently published by the International Federation of Gynecology and Obstetrics (FIGO), allows epidemiological information in women with abnormal uterine bleeding, as well as thorough assessment and proper management. We aimed to classify patients who applied to our gynecology outpatient clinic with abnormal uterine bleeding according to PALMCOEIN classification.Methods:Our prospective observational study was conducted with non-pregnant women aged 15-45 years who were admitted to the gynecology outpatient clinic between June 2017 and March 2018. Patients were grouped according to PALM-COEIN classification by anamnesis, transvaginal ultrasonography, laboratory tests, hysteroscopy and pathology results.Results:The cases were classified into two groups as structural causes (PALM) and non-structural causes (COEIN). There were 199 cases (49.4%) in the PALM group and 204 cases (50.6%) in the COEIN group. In the PALM group, polyp was found as the most common cause of abnormal uterine bleeding in 79 cases (19.6%). The most common cause in COEIN group iatrogenic was with 80 cases (19.9%). There was a statistically significant difference between the two groups regarding age, body mass index and the need for surgery.Conclusion:The diagnosis and management of abnormal uterine bleeding becomes easier and more objective with the use of PALM-COEIN system. |
| first_indexed | 2024-04-10T10:08:01Z |
| format | Article |
| id | doaj.art-75a0d44131be4ab081887965c10e9929 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T10:08:01Z |
| publishDate | 2019-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-75a0d44131be4ab081887965c10e99292023-02-15T16:22:21ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2019-09-0120547748110.4274/imj.galenos.2019.0378013049054Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN ClassificationNihan İlhan Oruç0Hale Göksever Çelik1Nermin Gündüz2Gökhan Yıldırım3 İstanbul Bahçelievler General Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital, Clinic of Pathology, Istanbul, Turkey İstanbul Medipol University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey Introduction:The PALM-COEIN classification, described and recently published by the International Federation of Gynecology and Obstetrics (FIGO), allows epidemiological information in women with abnormal uterine bleeding, as well as thorough assessment and proper management. We aimed to classify patients who applied to our gynecology outpatient clinic with abnormal uterine bleeding according to PALMCOEIN classification.Methods:Our prospective observational study was conducted with non-pregnant women aged 15-45 years who were admitted to the gynecology outpatient clinic between June 2017 and March 2018. Patients were grouped according to PALM-COEIN classification by anamnesis, transvaginal ultrasonography, laboratory tests, hysteroscopy and pathology results.Results:The cases were classified into two groups as structural causes (PALM) and non-structural causes (COEIN). There were 199 cases (49.4%) in the PALM group and 204 cases (50.6%) in the COEIN group. In the PALM group, polyp was found as the most common cause of abnormal uterine bleeding in 79 cases (19.6%). The most common cause in COEIN group iatrogenic was with 80 cases (19.9%). There was a statistically significant difference between the two groups regarding age, body mass index and the need for surgery.Conclusion:The diagnosis and management of abnormal uterine bleeding becomes easier and more objective with the use of PALM-COEIN system. http://imj.galenos.com.tr/archives/archive-detail/article-preview/evaluation-of-the-patients-with-abnormal-uterine-b/30569 abnormal uterine bleeding; palm-coeinfigo classificationterminology |
| spellingShingle | Nihan İlhan Oruç Hale Göksever Çelik Nermin Gündüz Gökhan Yıldırım Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification İstanbul Medical Journal abnormal uterine bleeding; palm-coein figo classification terminology |
| title | Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification |
| title_full | Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification |
| title_fullStr | Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification |
| title_full_unstemmed | Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification |
| title_short | Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification |
| title_sort | evaluation of the patients with abnormal uterine bleeding based on palm coein classification |
| topic | abnormal uterine bleeding; palm-coein figo classification terminology |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/evaluation-of-the-patients-with-abnormal-uterine-b/30569
|
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