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2019 | OriginalPaper | Hoofdstuk

22. Abnormal uterine bleeding

Auteurs: Professor Marlies Y. Bongers, Dr Peggy M. A. J. Geomini, Dr Wouter J. K. Hehenkamp, Professor Mark Hans Emanuel

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

Uitgeverij: Bohn Stafleu van Loghum

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Summary

Abnormal menstrual bleeding (AUB) is a collective name for all vaginal bleeding problems such as heavy menstrual bleeding, intermenstrual bleeding, spotting and postmenopausal bleeding. To address AUB the classification of the International Federation of Gynaecology and Obstetrics (FIGO) is used worldwide. In 2011 the FIGO also developed a new classification system for the causes of AUB, the PALM-COEIN; polyp; adenomyosis; leiomyoma; malignancy and hyperplasia; coagulopathy; ovulatory dysfunction; endometrial; iatrogenic; and not yet classified. The PALM part of this classification denotes the anatomical causes and the COEIN part stands for the essential causes of AUB. History and examination are the basis of investigation. Moreover the pictorial blood assessment chart gives an indication about the amount of blood lost each month. Several imaging tests (e.g. transvaginal ultrasound, hysteroscopy, MRI) are used to visualize the cause of AUB, followed by an individual tailored solution depending of the underlying cause.

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Woordenlijst
Abnormal menstrual bleeding (AUB)
A collective name for all vaginal bleeding problems
Postmenopausal menstrual bleeding (PMB)
Vaginal bleeding more than 1 year after the last menstruation
Heavy menstrual bleeding (HMB)
Menstruation at regular intervals but with excessive flow and duration
The pictorial blood assessment chart (PBAC)
A tool to determine the amount of blood loss during menstruation by counting the number of pads and tampons per month
Myoma nascens
An intrauterine fibroid visualized extruding through the cervical canal
PALM-COEIN
An acronym for causes of abnormal uterine bleeding. The first letters of the causes form this acronym: polyp; adenomyosis; leiomyoma; malignancy and hyperplasia; coagulopathy; ovulatory dysfunction; endometrial; iatrogenic and not yet classified
Irregular heavy menstrual women in young women just after their menarche due to anovulatory cycles
Iatrogenic obliteration of the uterine cavity
Haematometra
Uterine cavity filled with blood due to obliteration of the cervix
Menorrhagia des vierges
Irregular heavy menstrual women in young women just after their menarche due to anovulatory cycles
Literatuur
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Metagegevens
Titel
Abnormal uterine bleeding
Auteurs
Professor Marlies Y. Bongers
Dr Peggy M. A. J. Geomini
Dr Wouter J. K. Hehenkamp
Professor Mark Hans Emanuel
Copyright
2019
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2131-5_22