AUB-2023
The document provides a comprehensive overview of Abnormal Uterine Bleeding (AUB) by Professor Lanka Dasanayake, a Professor of Obstetrics & Gynaecology at the University of Ruhuna in Sri Lanka. The lecture covers various aspects related to AUB, including normal menstrual bleeding and its control, descriptions of AUB, a new classification of AUB, and the investigation and management of AUB.
The lecture delves into the physiological processes involved in normal menstrual bleeding, the factors contributing to abnormal uterine bleeding, and the impact of AUB on a woman’s quality of life. It also discusses the various terminologies and classifications related to AUB, such as menorrhagia, metrorrhagia, hypomenorrhoea, and others, and emphasizes the importance of understanding the frequency, regularity, duration, and flow of menstrual bleeding.
Furthermore, the document outlines the PALM COEIN classification system for AUB, which categorizes AUB based on structural and non-structural causes. It also provides a detailed approach to the investigation and management of AUB, including the use of hormonal contraceptives, medical management with NSAIDs, antifibrinolytic agents, progestagens, and surgical interventions.
The lecture emphasizes the need for a systematic approach to the management of AUB, including a detailed menstrual history, general and pelvic examinations, imaging studies, appropriate laboratory investigations, and endometrial sampling. It also highlights the importance of individualized management based on clinical acumen and experience.
In summary, the document serves as a comprehensive guide for medical students, covering the pathophysiology, classification, investigation, and management of abnormal uterine bleeding.
