Deneris Angela
J Midwifery Womens Health. 2016 May;61(3):376-9. doi: 10.1111/jmwh.12440. Epub 2016 Mar 11.
Approximately 30% of women will experience abnormal uterine bleeding (AUB) during their life time. Previous terms defining AUB have been confusing and imprecisely applied. As a consequence, both clinical management and research on this common problem have been negatively impacted. In 2011, the International Federation of Gynecology and Obstetrics (FIGO) Menstrual Disorders Group (FMDG) published PALM-COEIN, a new classification system for abnormal bleeding in the reproductive years. Terms such as menorrhagia, menometrorrhagia, metrorrhagia, dysfunctional uterine bleeding, polymenorrhea, oligomenorrhea, and uterine hemorrhage are no longer recommended. The PALM-COEIN system was developed to standardize nomenclature to describe the etiology and severity of AUB. A brief description of the PALM-COEIN nomenclature is presented as well as treatment options for each etiology. Clinicians will frequently encounter women with AUB and should report findings utilizing the PALM-COEIN system.
约30%的女性在其一生中会经历异常子宫出血（AUB）。以往定义AUB的术语一直令人困惑且应用不准确。因此，这一常见问题的临床管理和研究均受到了负面影响。2011年，国际妇产科联合会（FIGO）月经失调小组（FMDG）发布了PALM-COEIN，这是一种针对生殖年龄期异常出血的新分类系统。月经过多、月经过多并子宫出血、子宫出血、功能失调性子宫出血、月经频发、月经过少和子宫出血等术语不再被推荐使用。PALM-COEIN系统旨在规范命名法，以描述AUB的病因和严重程度。本文简要介绍了PALM-COEIN命名法以及每种病因的治疗选择。临床医生经常会遇到患有AUB的女性，应使用PALM-COEIN系统报告检查结果。
