Question 1

What is PALM-COEIN Classification?

Accepted Answer

A global system to categorize causes of abnormal uterine bleeding. PALM: Structural causes like Polyps, Adenomyosis, Leiomyoma, and Malignancy. COEIN: Non-structural causes like Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, and Not yet classified.

Question 2

Why should you undergo this workup?

Accepted Answer

To identify the exact root cause of bleeding rather than treating symptoms. To rule out serious conditions or early-stage malignancies. To improve quality of life and manage anemia caused by heavy flow.

Question 3

Target Groups

Accepted Answer

Women experiencing unusually heavy menstrual periods. Intermenstrual bleeding or post-coital spotting. Chronic irregularity in the menstrual cycle.

Comprehensive AUB Diagnostic Assessment - Abnormal Uterine Bleeding (AUB) Diagnostic Workup