Management  of PALM-COEIN causes of abnormal uterine bleeding

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Management of abnormal uterine bleeding

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management of PALM-COEIN causes of abnormal uterine bleeding

Whitaker L, Critchley HOD. Abnormal uterine bleeding. Best Practice & Research Clinical Obstetrics & Gynaecology. 2016;34:54-65.

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AUB sub classification	specific treatment
polyp	resection
adenomyosis	surgery: hysterectomy; adenomyomectomy (not frequently performed)
malignancy	surgery +/- adjuvant therapy high-dose progestogens (if surgery not possible) palliation (including radiotherapy)
coagulopathy	tranexamic acid desmopressin acetate (DDVAP)
ovulation	lifestyle modification cabergoline (if hyperprolactinaemia) levothyroxine (if hypothyroid)
endometrial	specific therapies await further delineation of underlying mechanisms
not otherwise classified	antibiotics for endometritis embolisation of AV malformation

Management of PALM-COEIN causes of abnormal uterine bleeding

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