Melody,
I really enjoyed your presentation! It was very informative and well-formatted. Below are
my answers to your questions.
“What is the mnemonic used to classify the causes of AUB?”
The PALM-COEIN system is used to categorize the causes of abnormal uterine bleeding.
It stands for Polyp, Adenomyosis, Leiomyoma, Malignancy and hyperplasia, Coagulopathy,
Ovulatory dysfunction, Endometrial, Iatrogenic, and Not otherwise classified. Using this system
is necessary so that the best and most personalized management can be constructed for the
individual patient. This system should also be used to guide the obtaining of a complete medical
history and HPI, which can then help the practitioner to develop a plan suitable for each patient
(ACOG, 2013).
“Have you seen this in clinic? If so, what was the cause?”
I have seen this in clinic a few times. Two of them had polycystic ovarian syndrome and
one of them had fibroids. One of the PCOS patients and the patient with fibroids already knew
that this was the cause and were being treated by their OB/Gyn. The other patient with PCOS
was a younger girl, I think 16 if I remember correctly, who had abnormal uterine bleeding for a
few years and we referred her to an OB/Gyn, who eventually diagnosed her with PCOS and
started treatment for it.
“What must be ruled out first in women of childbearing years?”
There are a number of things to rule out in women of childbearing years regarding a
workup for abnormal uterine bleeding, but specifically one of the first things to rule, and quite
frankly, one of the easiest things to rule out, is pregnancy. This is important for a couple of
This study source was downloaded by 100000830246019 from CourseHero.com on 08-03-2022 14:17:49 GMT -05:00
https://www.coursehero.com/file/34814431/NR602-Wk-6-PR-1docx/
I really enjoyed your presentation! It was very informative and well-formatted. Below are
my answers to your questions.
“What is the mnemonic used to classify the causes of AUB?”
The PALM-COEIN system is used to categorize the causes of abnormal uterine bleeding.
It stands for Polyp, Adenomyosis, Leiomyoma, Malignancy and hyperplasia, Coagulopathy,
Ovulatory dysfunction, Endometrial, Iatrogenic, and Not otherwise classified. Using this system
is necessary so that the best and most personalized management can be constructed for the
individual patient. This system should also be used to guide the obtaining of a complete medical
history and HPI, which can then help the practitioner to develop a plan suitable for each patient
(ACOG, 2013).
“Have you seen this in clinic? If so, what was the cause?”
I have seen this in clinic a few times. Two of them had polycystic ovarian syndrome and
one of them had fibroids. One of the PCOS patients and the patient with fibroids already knew
that this was the cause and were being treated by their OB/Gyn. The other patient with PCOS
was a younger girl, I think 16 if I remember correctly, who had abnormal uterine bleeding for a
few years and we referred her to an OB/Gyn, who eventually diagnosed her with PCOS and
started treatment for it.
“What must be ruled out first in women of childbearing years?”
There are a number of things to rule out in women of childbearing years regarding a
workup for abnormal uterine bleeding, but specifically one of the first things to rule, and quite
frankly, one of the easiest things to rule out, is pregnancy. This is important for a couple of
This study source was downloaded by 100000830246019 from CourseHero.com on 08-03-2022 14:17:49 GMT -05:00
https://www.coursehero.com/file/34814431/NR602-Wk-6-PR-1docx/
