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Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period

Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period. FOGSI Nomenclature (PALM-COEIN CLASSIFICATION) Evidence Based AUB guidelines (GCPR) (An Indian Perspective) Dr Malleswar Rao K. AUB. Evidence -based Good Clinical Practice Recommendations [GCPR] for Indian women

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Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period

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  1. Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period FOGSI Nomenclature (PALM-COEIN CLASSIFICATION) Evidence Based AUB guidelines (GCPR) (An Indian Perspective) Dr Malleswar Rao K

  2. AUB Evidence-based Good Clinical Practice Recommendations [GCPR] for Indian women A Gynecologic Endocrine Society of India (GESI) initiative in collaboration with Endocrine Committee of Association of Obstetricians and Gynecologists of Delhi

  3. AUB There is a remarkable inconsistency in the management of AUB in day to day clinical practice owing to lack of Good Clinical Practice (GCP) guidelines for diagnosis and management of AUB in India. Hence, there is an urgent need for the development of Indian guideline with recommendations on GCP to diagnose and manage AUB.

  4. Normal & Abnormal limits of Menstruation

  5. Suggested “normal limits” for uterine bleeding in the mid-reproductive years Munro MG. Rev EndocrMetab Disorder (2012) 13: 225-234

  6. PALM-COEIN CLASSIFICATION To standardize nomenclature of AUB, a new system known by the acronym PALM-COEIN (Polyp; Adenomyosis; Leiomyoma; Malignancy and Hyperplasia; Coagulopathy; Ovulatory Disorders; Endometrial factors; Iatrogenic; and Not classified) was introduced in 2011 by the International Federation of Gynecology and Obstetrics (FIGO) based on etiopathogenesis.

  7. Grading system of current GCPR The current consensus guidelines have been developed in accordance with the American association of clinical endocrinologists (AACE) protocol for standardized production of clinical practice guidelines. Recommendations are organized aetiology-wise, according to the PALMCOEIN system. They are based on clinical importance and graded (A, B, C, and D), coupled with four intuitive levels of evidence (1, 2, 3, and 4) based on the quality of supporting evidence

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