HMB Teaching and Resources Library
HMB Clinical Practice Guidelines per Country
NICE Guideline (UK)
National Institute for Health and Care Excellence
Heavy menstrual bleeding:
assessment and management 2018
ACOG Guideline (US)
American College of Obstetricians and Gynecologists
Management of Abnormal Uterine Bleeding Associated
With Ovulatory Dysfunction 2013
FSRH Guideline (UK)
Faculty of Sexual and Reproductive Healthcare
FSRH Clinical Guidance: Intrauterine Contraception
September 2019
CNGOF Guidelines (France)
Collège National des Gynécologues et Obstétriciens Français
Management of Abnormal Uterine
Bleeding before Menopause 2008
FEBRASGO Guideline (Brazil)
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Orientações e recoMenDações Da
Febrasgo Sangramento Uterino anormal 2017
SOGC Guideline (Canada)
Society of Obstetricians and Gynaecologists of Canada
Abnormal uterine bleeding in
pre-menopausal women 2013
SELECTED PUBLICATIONS
Women's attitudes towards heavy menstrual bleeding, and their impact on quality of life
Bitzer J, et al. Open Access J Contracept. 2013;4:21-28
Medical management of heavy menstrual bleeding: a comprehensive review of the literature
Bitzer J, et al. Obstet Gynecol Surv. 2015;70(2):115-130.
Research and clinical management for women with abnormal uterine bleeding in the reproductive years: More than PALM-COEIN
Munro MG, et al. BJOG 2017;124:185–9
Resources of HMB causes ordered by PALM-COEIN Classification
About the FIGO PALM-COEIN Classification
There is general inconsistency in the nomenclature used to describe abnormal uterine bleeding (AUB). The Menstrual Disorders Working Group was set up by the International Federation of Gynecology and Obstetrics (FIGO) to address these issues and to develop an agreed set of terms and definitions. The group developed a classification system – PALM-COEIN – which can be used to describe both structural and non-structural causes of AUB.
RELATED PUBLICATION
FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age
Munro MG, et al. Int J Gynaecol Obstet 2011;113:3–13
Select the letter to get to the respective resources of the cause you are interested in.
PALM COEIN
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