European Journal of Cardiovascular Medicine

Material & Methods: Study Design: Hospital based observational study. Study area: Department of Obstetrics & Gynecology, GSL Medical College, Rajamahendravaram, Andhra Pradesh. Study Period: 1 year. Study population: All cases of abnormal uterine bleeding with complaints of menorrhagia, metrorrhagia, polymenorrhea and menometrorrhagia in the age group 20-55 years. Sample size: Study consisted a total of 100 subjects. Sampling Technique:  Simple Random technique. Study tools and Data collection procedure: The study population included a total number of 100 women of reproductive age group who were admitted with complaints of abnormal uterine bleeding in the Department of Obstetrics and Gynaecology, GSL Medical College, Rajamahendravaram. The demographic details were noted, and a structured history of previous and current menstrual history, history of contraception use and medical/surgical history was followed by general, physical, systemic and gynaecological examination. Results: Of the study group 61% of the cases presented with heavy menstrual bleeding followed by 11% of the cases with dysmenorrhoea along with menorrhagia. Intermenstrual bleeding is seen in 10% of the cases and the remaining cases were presented in association with AUB such as 7%of the cases presented with mass per abdomen while 4% of the cases presented with mass per vagina and urinary retention respectively. 2% of the patients presented with white discharge and HMB while 1% of the cases presented with white discharge and dysmenorrhoea. Conclusion: To conclude, the use of the objective PALM-COEIN system allows for faster and more efficient diagnosis and treatment planning than the traditional terminology system based on patient and clinician perception, which is relatively difficult to use and difficult to determine the cause of AUB with.