FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Munro MG(1). The FIGO systems for nomenclature and classification of causes of abnormal uterine bleeding in the reproductive years: who needs them? Malcolm G. Munro. The terminology for AUB symptoms as well as the FIGO system for classification of AUB etiologies are reviewed here. The differential diagnosis.

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This page was last edited on 22 Augustat Starting ina group of experts that comprised those from the FDA, related professional societies and gynecologic medical journals, and representatives from the basic, translational, and clinical sciences were assembled clazsification tackle the issues in a systematic fashion.

The results allowed for a collective recognition of the disparity and inconsistency in definitions and terminology a circumstance that was a surprise to many. Views Read Edit View history.

Abnormal uterine bleeding AUB in the reproductive years, unrelated to pregnancy, is rarely life-threatening, but classitication frequently life altering. National Institute for Health and Clinical Excellence.

Coagulopathies require confirmation by laboratory testing, while, at least for the present, ovulatory and endometrial disorders are primarily, and at least clinically, defined by a structured history. Such women are 30 per cent less productive at work, and, consequently, suffer a similar reduction in income.

FIGO classification of uterine bleeding – Wikipedia

These circumstances lead to difficulties with the interpretation of both basic science research and clinical trials as since specimens and patients could be “contaminated” with potential confounders. Although common sense interventions such as iron therapy are often underused in developed countries and frequently kf in developing nations, these and related therapies deal with reducing the consequences HMB the symptom, not the cause itself. Abnormal uterine bleeding in the reproductive years comprises a complex set of disorders that include abnormalities in endocrine, endometrial and hemostatic function and a number of structural anomalies that include polyps, adenomyosis and leiomyomas or fibroids.


The International Federation of Gynecology and Obstetrics FIGO is an international organization that links about international professional societies of Obstetricians and Gynecologists. Fgo problem of AUB burdens the economy, employers, as well as women and their families.

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Noninflammatory disorders of female genital tract. Investigators have to conceive and then execute relevant bench and clinical investigation; clinicians must deal with the patient in their office or hospital and educators of medical students and postgraduate trainees classififation as residents and fellows are encumbered with the task of providing a mechanism for understanding AUB that facilitates proper investigation and therapy.

With the massive worldwide impact of both acute and chronic AUB, the relevance of safe and effective clinical care cannot be overestimated. American Journal of Obstetrics and Gynecology. The development of these systems was in large part based upon a fiigo was conducted using RAND’s Delphi process.

The symptoms frequently interfere with quality of life and those girls and women afflicted with chronic AUB spend significant amounts of personal resources on menstrual products and medications. As a result, in order to obtain clearly informative basic science as well as translational and clinical investigation, a comprehensive approach to both investigation and categorization was needed.


For a number of investigators and educators, it became apparent that there were at least two major impediments to dealing with these challenges. International Journal of Gynaecology and Obstetrics.

Added was a category for submucous myomas that make contact with the endometrium but do not distort the endometrial cavity Type 3and subclassification for intramural leiomyomas and the various types of subserous myomas. The first was a disjointed collection of poorly defined and inconsistently used terms and fibo that undermined effective communication among investigators, clinicians and trainees alike.

Determination of the causes of AUB in the reproductive years remains a major challenge for investigators, clinicians and educators. It is recognized that each of the major categories may include subgroups that are known or suspected to have clinical relevance.

FIGO classification of uterine bleeding

Explicit use of et al. Irregular ovulation or anovulation can be supported by a number of laboratory and histopathological assessments, not typically applied in clinical settings.

From Wikipedia, the free encyclopedia. The result of this process was a near unanimous decision to create a new set of descriptive and unambiguous terms that could be translated into a wide spectrum of classificcation. Seminars in Reproductive Medicine. This page is a summary of the systems and their use in contemporary gynecology. In FIGO recognized two systems designed to aid research, education, and clinical care of women with abnormal uterine bleeding AUB in the reproductive years.