Template:Vaginal bleeding definitions: Difference between revisions

Line 6: Line 6:
*Midcycle spotting - spotting just before ovulation (due to decline in estrogen)
*Midcycle spotting - spotting just before ovulation (due to decline in estrogen)
*Postmenopausal bleeding - recurrence of bleeding after menopause
*Postmenopausal bleeding - recurrence of bleeding after menopause
**Never normal but usually not emergency, requires outpatient OB/GYN follow up
*Polymenorrhea: Frequent and light bleeding
*Polymenorrhea: Frequent and light bleeding
*Postcoital bleeding: vaginal bleeding after intercourse, suggesting cervical pathology
*Postcoital bleeding: vaginal bleeding after intercourse, suggesting cervical pathology

Revision as of 18:24, 12 January 2021

Vaginal Bleeding Definitions

  • Menorrhagia: >7 day (prolonged) or >80 mL/day (excessive) uterine bleeding at regular intervals
  • Metrorrhagia: irregular vaginal bleeding outside the normal cycle
  • Menometrorrhagia - Excessive irregular vaginal bleeding
  • Intermenstrual bleeding - variable amounts between regular menstrual periods
  • Midcycle spotting - spotting just before ovulation (due to decline in estrogen)
  • Postmenopausal bleeding - recurrence of bleeding after menopause
  • Polymenorrhea: Frequent and light bleeding
  • Postcoital bleeding: vaginal bleeding after intercourse, suggesting cervical pathology
  • Postmenopausal bleeding: Any bleeding that occurs >6 mo after cessation of menstruation
  • The International Federation of Gynecology and Obstetrics (FIGO) introduced a new classification system known by the acronym PALM-COEIN
  • PALM: structural causes
    • Polyp (AUB-P)
    • Adenomyosis (AUB-A)
    • Leiomyoma (AUB-L)
    • Malignancy and hyperplasia (AUB-M)
  • COEIN: nonstructural causes
    • Coagulopathy (AUB-C)
    • Ovulatory dysfunction (AUB-O)
    • Endometrial (AUB-E)
    • Iatrogenic (AUB-I)
    • Not yet classified (AUB-N)