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Abnormal Uterine Bleeding Overview

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Questions and Answers

What is the definition of acute uterine bleeding?

Bleeding that lasts for more than six months.

Bleeding that is normal in duration and volume but occurs irregularly.

An episode of bleeding in a woman of reproductive age that requires immediate intervention. (correct)

Bleeding that occurs in a woman who is pregnant.

Which percentage of premenopausal women over the age of 35 is impacted by abnormal uterine bleeding?

Between 10% and 20%

Less than 10%

More than 30%

Around 20% (correct)

What characterizes chronic abnormal uterine bleeding?

Bleeding that lasts less than six months.

Irregular bleeding that resolves within a few days.

Bleeding that has been abnormal in duration, volume, and/or frequency for the majority of the last 6 months. (correct)

Excessive bleeding occurring sporadically.

What does polymenorrhoea refer to?

Frequent and/or prolonged menstruation at regular intervals. Signup and view all the answers

What is oligomenorrhea characterized by?

Infrequent menstruation exceeding 35 days Signup and view all the answers

How is postmenopausal bleeding (PMB) defined?

Bleeding occurring after 1 year of amenorrhea without hormone therapy Signup and view all the answers

What is the previous nomenclature term for irregular heavy menstrual bleeding?

Metrorrhagia Signup and view all the answers

What should always be excluded when assessing postmenopausal bleeding?

Possible malignancy Signup and view all the answers

What is the most common origin of the causes of PMB?

Benign conditions Signup and view all the answers

In the FIGO classification, what is emphasized regarding fibroids?

They have specific subclassifications Signup and view all the answers

Study Notes

Abnormal Uterine Bleeding (AUB)

AUB is a common clinical problem, especially in women over 35.
It is characterized by unusually heavy menstrual bleeding (HMB).
Acute AUB: Bleeding requiring immediate intervention to stop potential blood loss in a non-pregnant woman of reproductive age.
Chronic AUB: Bleeding from the uterus that is abnormal in duration, frequency, or volume for at least six months.

New FIGO AUB classification for women with regular cycles:

PALM-COEIN: New classification system for AUB.
Polyps
Adenomyosis
Leiomyomas (fibroids)
Malignancy & hyperplasia
Coagulopathy
Ovarian dysfunction
Endometrial
Iatrogenic
Not yet classified

FIGO Subclassification for Fibroids:

Type 0: No fibroids.
Type 1: Submucosal fibroids with no extension in the myometrium.
Type 2: Submucosal fibroids with extension into the myometrium.
Type 3: Intramural fibroids confined to the myometrial layer.
Type 4: Subserosal fibroids with no extension into the myometrium.
Type 5: Subserosal fibroids with extension into the myometrium.

Postmenopausal Bleeding (PMB)

Bleeding that occurs after 1 year of amenorrhea in a woman not receiving hormone therapy.
Most PMB is benign in origin.
PMB should always consider the risk of malignancy.

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Description

This quiz covers the clinical aspects of Abnormal Uterine Bleeding (AUB), including classifications and key features. It highlights the new FIGO AUB classification system and the FIGO subclassification for fibroids. Test your knowledge on this important topic in women's health.