A Study of Palm-Coein Classification of Abnormal Uterine Bleeding and its Clinical-Histopathological Correlation in Perimenopausal Women at Umaid Hospital

Background: Abnormal uterine bleeding (AUB) is a commonest menstrual problem affecting the women of reproductive age group especially during perimenopausal period. It significantly impacts women’s personal, social, physical and quality of life. The International Federation of Gynecology and Obstetrics (FIGO) developed a new universally acceptable system of nomenclature and classification, namely PALM–COEIN classification. Aims and Objectives: [1] Categorize perimenopausal woman with abnormal uterine bleeding according to PALM-COEIN classification system. [2] Correlate the clinical diagnosis and histological feature of various causes of AUB. Materials and Method: The present study was conducted at Umaid Hospital, Jodhpur from June 2019 to Nov. 2019. Total 364 women (aged 40 years and above till 1 year beyond menopause) who were admitted with chief complain of AUB were included in our study. Results: Majority of women included in study were between 45-50 years (44.24%). 65.38% women presented with heavy menstrual bleeding and 34.61% presented with inter -menstrual bleeding. 209 women categorized in PALM system and 155 women in COEIN system. Most common cause of AUB according to clinical findings was leiomyoma in 38.73% women followed by ovarian dysfunction in 30.21% women. Conclusion: Histopathological examination contribute major role in accurate diagnosis which has a profound impact on the management of patients.