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Etiopathology of AUB

Classification of AUB

Structural causes (PALM)

Nonstructural systemic causes (COEIN)

Polyp

AUB-P

Coagulopathy

AUB-C

Adenomyosis

AUB-A

Ovulatorsfunctiondyy

AUB-O

Leiomyoma

AUB-L

Endometrial

AUB-E

-Submucosal myoma

AUB-L SM

latrogenic

AUB-I

- Other myoma

AUB-LO

Malignancy and hyperplasia

AUB-M

Not yet identified

AUB-N

 

Management of AUB According to Cause:

  1. Women with AUB with age ≥45 years should have endometrial biopsy (D/C or hysteroscopy directed biopsy) as an initial step of management.
  2. Adolescent girls with AUB or heavy menstrual bleeding need exclusion of bleeding disorders besides other investigation. Complete hemogram, platelet count, prothrombin time, and partial thromboplastin time need to be done.





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