HMB Teaching and Resources Library
HMB Clinical Practice Guidelines per Country
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.
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.
Benign growths on the lining of the uterusRead more
A condition in which the endometrium grows into the myometriumRead more
Also known as fibroids, leiomyoma are benign fibromuscular tumours of the myometriumRead more
The irregular proliferation of the endometrial glandsRead more
Several disorders of hemostasis can affect blood coagulationRead more
Abnormal, irregular or absent ovulationRead more
Can include alterations in local production of vasoconstrictors, plasminogen activators or prostaglandinsRead more
Bleeding caused by medical interventions or devicesRead more
Bleeding caused by conditions that are rare or which have an undetermined relationship to abnormal uterine bleeding symptomsRead more