FIGO - Sistema di classificazione (PALM-COEIN) delle cause di sanguinamento uterino anomalo in donne non gravide e in età riproduttiva

There is general inconsistency in the nomenclature used to describe abnormal uterine bleeding (AUB), in addition to a plethora of potential causes-several of which may coexist in a given individual. It seems clear that the development of consistent and universally accepted nomenclature is a step toward rectifying this unsatisfactory circumstance. Another requirement is the development of a classification system, on several levels, for the causes of AUB, which can be used by clinicians, investigators, and even patients to facilitate communication, clinical care, and research. This manuscript describes an ongoing process designed to achieve these goals, and presents for consideration the PALM-COEIN (polyp; adenomyosis; leiomyoma; malignancy and hyperplasia; coagulopathy; ovulatory dysfunction; endometrial; iatrogenic; and not yet classified) classification system for AUB, which has been approved by the International Federation of Gynecology and Obstetrics (FIGO) Executive Board as a FIGO classification system.

Questo report, che raccoglie i contributi di un gruppo internazionale di clinici-ricercatori di 6 continenti e 17 paesi, propone un nuovo sistema di classificazione dell’AUB (abnormal uterine bleeding, sanguinamento uterino anomalo).