What is Palm-Coein?
Since there are so many causes of abnormal menstrual bleeding, your doctor will use a framework called “PALM-COEIN” to help determine the cause of your HMB. PALM-COEIN stands for polyp, adenomyosis, leiomyoma, malignancy, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not-yet-classified.
How do you classify Palm-Coein?
There are nine main categories, which are arranged according to the acronym PALM–COEIN: polyp; adenomyosis; leiomyoma; malignancy and hyperplasia; coagulopathy; ovulatory dysfunction; endometrial; iatrogenic; and not yet classified.
How do you classify AUB?
The etiologies of acute AUB should be classified based on the PALM–COEIN system: Polyp, Adenomyosis, Leiomyoma, Malignancy and hyperplasia, Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, and Not otherwise classified.
What is ovulatory AUB?
Abnormal uterine bleeding due to ovulatory dysfunction (AUB-O) is abnormal uterine bleeding that, after examination and ultrasonography, cannot be attributed to the usual causes (structural gynecologic abnormalities, cancer, inflammation, systemic disorders, pregnancy, complications of pregnancy, use of oral …
Is adenomyosis the same as endometriosis?
As such, endometriosis is endometrium-like tissue in places outside your uterus, while adenomyosis is actual endometrial tissue invading deeper into your womb (doesn’t limit itself to the lining that falls away each period).
Can AUB cause infertility?
AUB can pose problems for people trying to conceive. Due to structural issues, the uterus can have issues with properly fertilizing eggs and carrying a fetus full-term. Additionally, growths may lead to other issues such as ovarian cancer. Therefore, people suffering from fertility issues may need to be tested for DUB.
Can AUB cause anemia?
Bleeding between periods is also a sign of AUB. AUB isn’t usually a major problem, but it can lead some girls to develop anemia (fewer red blood cells than normal). If a girl has AUB, it might mean her periods last longer or have more bleeding than normal.