FIGO 2018 AUB

Question 1

what does the PALM COEIN system describe?

Answer 1

causes of AUB
P - polyp
A - adenomyosis
L - leiomyoma
M - malignant or hyperplasia
C - coagulopathy
O - ovulatory dysfunction
I - iatrogenic
E - endometrial
N - NOS

Question 2

what is considered the normal frequency of menstrual cycle

Answer 2

between 24 and 38 day cycle frequency

Question 3

what is considered the normal duration of menstrual bleeding

Answer 3

less than or equal to 8 days
prolonged is considered >8 days

Question 4

what is considered to be normal regularity of a cycle?

Answer 4

shortest to longest cycle variation should be 7-9 days (age dependent)
Irregular is considered variation of >8-10 (age dependent)

Question 5

what is the recommended method to screen for coagulopathy?

Answer 5

1. Heavy menstrual bleeding since menarche
2. One of the following:
   a) Postpartum hemorrhage
   b) Surgical related bleeding
   c) Bleeding associated with dental work
3. Two or more of the following symptoms:
   a) Bruising 1–2 times per month
   b) Epistaxis 1–2 times per month
   c) Frequent gum bleeding
   d) Family history of bleeding symptoms