Disease Area

Diagnosing and treating chronic AUB requires a sound understanding of the pathogenesis of AUB. This module explores the PALM-COEIN classification system for abnormal uterine bleeding (AUB), reviews best practices for the diagnosis of AUB and the optimal AUB workup, and describes differential diagnosis of AUB with an emphasis on workup options. The intended audience for this learning module is advanced practice clinicians in Ob/Gyn or family practice settings. Author: Barbara Dehn, RN, MSNP, FAANP, NCMP Women’s Health Nurse Practitioner Guest Lecturer Stanford University Los Altos, California Available through The Clinical Connection, a FREE online platform geared towards advanced practice clinicians in women's health, providing self-directed modules for students and professionals, and dynamic training tools and resources for educators. Visit the website to create a free login.

Diagnosis of AUB requires a systematic approach that is driven by a thorough menstrual and medical history, a targeted physical examination and appropriate laboratory testing, and evaluation of the endometrial cavity by one or more uterine imaging techniques. This module describes the essential elements of a workup of chronic AUB, including the importance of the menstrual history, the use of diagnostic imaging and additional testing, and how the FIGO systems for description of menstrual symptoms and classification of the potential causes of chronic AUB facilitate the investigation and, ultimately, the development of an individualized menu of therapeutic options. The intended audience for this learning module is physicians and medical residents in Ob/Gyn or family practice settings. Author: Malcolm G. Munro, MD, FRCS(c), FACOG Co-Chair, FIGO Menstrual Disorders Standing Committee Professor, Department of Obstetrics & Gynecology David Geffen School of Medicine at UCLA Director of Gynecologic Services Kaiser Permanente, Los Angeles Medical Center Available through The HER Program, a FREE online platform geared towards women’s health residency programs, providing self-directed modules for residents & dynamic training tools & resources for educators. Visit the website to create a free login.

Diagnosing and treating chronic AUB requires a sound understanding of the pathogenesis of AUB. This module covers the physiology of AUB, prevalence and impact, and pathogenesis of AUB based on the PALM-COEIN Classification System. The intended audience for this learning module is physicians and medical residents in Ob/Gyn or family practice settings. Author: Malcolm G. Munro, MD, FRCS(c), FACOG Co-Chair, FIGO Menstrual Disorders Standing Committee Professor, Department of Obstetrics & Gynecology David Geffen School of Medicine at UCLA Director of Gynecologic Services Kaiser Permanente, Los Angeles Medical Center Available through The HER Program, a FREE online platform geared towards women’s health residency programs, providing self-directed modules for residents & dynamic training tools & resources for educators. Visit the website to create a free login.

Dr. Malcolm Munro, member of the FIGO executive board, talks to the inconsistency of nomenclature used to describe Abnormal Uterine Bleeding. He discusses the potential causes and etiologies of AUB and further explains how this new classification system will satisfy the ongoing needs of physicians, patients and investigators to communicate universally.

Use this quick reference tool to help incorporate PALM-COEIN into the diagnostic and patient counseling process. Click here to download this PDF resource.