Understanding Causes of Abnormal Uterine Bleeding in Perimenopausal Women: A Prospective Observational Study Using the FIGO PALM COEIN Classification System

The FIGO PALM COEIN classification system aids in identifying underlying causes of AUB.Aim: This study aims to categorize AUB causes in perimenopausal women using the FIGO PALM COEIN classification system.Study Design: A hospital-based prospective observational study was conducted involving 200 perimenopausal women aged 40 and above, within one year of menopause, presenting with complaints of AUB to the gynecology department at AVMC.Methods: Clinical diagnosis using the FIGO PALM COEIN system, supplemented by investigations and endometrial sampling, was conducted. By using the PALM-COEIN system, clinicians can better identify the underlying reasons for abnormal uterine bleeding in women[2]. [...]this system identifies multiple contributing factors that may influence the management of abnormal uterine bleeding[3]. Data Collection:Patient data encompassed demographic details, clinical information, including menstrual history, obstetric history, the presence of any concomitant conditions, and a comprehensive general and systemic examination. Quality Control Measures:Quality control measures included regular calibration of ultrasound equipment and standardized protocols for data collection and diagnostic procedures.