Figo’s Palm Coein Classification of Abnormal Uterine Bleeding – It’s Clinico-Histopathological Correlation in Indian Setting"
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 3728-3740
AbstractBackground: To study and analyze the structural and functional component of PALM COEIN of AUB in Perimenopausal women and its correlation with the Histopathology where ever applicable especially PALM component.
Materials and Methods: This is a prospective observational study carried out on 100 non gravid women of perimenopausal and postmenopausal age groups who came to Gynaecology OPD with complaints of AUB. The data was analysed considering the inclusion and exclusion criteria. The PALM- COEIN classification was used to classify causes of AUB.
Results: In our study most of the patients were in the age group of 41-50 years (45%). So that AUB is most common in late reproductive years and perimenopausal age groups. Most women with AUB were multiparous. More than half of the women were overweight and obese. So that high BMI is a risk factor for AUB. Most common presenting complaint was heavy menstrual bleeding (44%). Most cases of AUB were due to structural (PALM) abnormalities (61%) &67% based on HPE. Most common cause of AUB was leiomyoma (30%) and more cases were seen in the age group of 31- 50 years .most of the cases of leiomyoma were. Sub mucosal type. 2nd most common cause of AUB was ovulatory dysfunction (17%). In endometrial polyps the D & C reports showed more cases of proliferative endometrium showing that estrogen regulates the growth of the polyps. More cases of AUB-A, AUB-M, AUB-A,L were detected on histopathological examination. Malignancy and hyperplasia is mostly seen after 51 years and mostly these are post-menopausal.
Conclusions: In our study more cases of AUB-A,AUB-M,AUB-A,L were detected more than that of clinical case after histopathological examination, which is more accurate in detecting the pathology. Hence, a proper and adequate clinico histopathological workup of perimenopausal patients helps in accurate diagnosis which aids in better management of AUB.
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