The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions

the FIGO Menstrual Disorders Committee

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: The International Federation of Gynecology and Obstetrics (FIGO) systems for nomenclature of symptoms of normal and abnormal uterine bleeding (AUB) in the reproductive years (FIGO AUB System 1) and for classification of causes of AUB (FIGO AUB System 2; PALM-COEIN) were first published together in 2011. The purpose was to harmonize the definitions of normal and abnormal bleeding symptoms and to classify and subclassify underlying potential causes of AUB in the reproductive years to facilitate research, education, and clinical care. The systems were designed to be flexible and to be periodically reviewed and modified as appropriate. Objectives: To review, clarify, and, where appropriate, revise the previously published systems. Methodology and outcome: To a large extent, the process has been an iterative one involving the FIGO Menstrual Disorders Committee, as well as a number of invited contributions from epidemiologists, gynecologists, and other experts in the field from around the world between 2012 and 2017. Face-to-face meetings have been held in Rome, Vancouver, and Singapore, and have been augmented by a number of teleconferences and other communications designed to evaluate various aspects of the systems. Where substantial change was considered, anonymous voting, in some instances using a modified RAND Delphi technique, was utilized.

Original languageEnglish (US)
Pages (from-to)393-408
Number of pages16
JournalInternational Journal of Gynecology and Obstetrics
Volume143
Issue number3
DOIs
StatePublished - Dec 1 2018

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Uterine Hemorrhage
Gynecology
Obstetrics
Delphi Technique
Telecommunications
Singapore
Politics
Terminology
Communication
Hemorrhage
Education
Research

Keywords

  • Abnormal uterine bleeding
  • Adenomyosis
  • Anovulatory bleeding
  • Arteriovenous malformation
  • Coagulopathy
  • Endometrial hyperplasia
  • Endometrial polyp
  • FIGO
  • Heavy menstrual bleeding
  • Heavy uterine bleeding
  • Intermenstrual bleeding
  • Irregular menstrual bleeding
  • Irregular uterine bleeding
  • Isthmocele
  • Leiomyoma
  • Menorrhagia
  • Metrorrhagia
  • PALM-COEIN

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

@article{57bbf108ca8640bc97060a8accd9f849,
title = "The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions",
abstract = "Background: The International Federation of Gynecology and Obstetrics (FIGO) systems for nomenclature of symptoms of normal and abnormal uterine bleeding (AUB) in the reproductive years (FIGO AUB System 1) and for classification of causes of AUB (FIGO AUB System 2; PALM-COEIN) were first published together in 2011. The purpose was to harmonize the definitions of normal and abnormal bleeding symptoms and to classify and subclassify underlying potential causes of AUB in the reproductive years to facilitate research, education, and clinical care. The systems were designed to be flexible and to be periodically reviewed and modified as appropriate. Objectives: To review, clarify, and, where appropriate, revise the previously published systems. Methodology and outcome: To a large extent, the process has been an iterative one involving the FIGO Menstrual Disorders Committee, as well as a number of invited contributions from epidemiologists, gynecologists, and other experts in the field from around the world between 2012 and 2017. Face-to-face meetings have been held in Rome, Vancouver, and Singapore, and have been augmented by a number of teleconferences and other communications designed to evaluate various aspects of the systems. Where substantial change was considered, anonymous voting, in some instances using a modified RAND Delphi technique, was utilized.",
keywords = "Abnormal uterine bleeding, Adenomyosis, Anovulatory bleeding, Arteriovenous malformation, Coagulopathy, Endometrial hyperplasia, Endometrial polyp, FIGO, Heavy menstrual bleeding, Heavy uterine bleeding, Intermenstrual bleeding, Irregular menstrual bleeding, Irregular uterine bleeding, Isthmocele, Leiomyoma, Menorrhagia, Metrorrhagia, PALM-COEIN",
author = "{the FIGO Menstrual Disorders Committee} and Munro, {Malcolm G.} and Critchley, {Hilary O.D.} and Fraser, {Ian S.} and Rohana Haththotuwa and Alka Kriplani and Luis Bahamondes and Carlos F{\"u}chtner and Rebecca Tonye and David Archer and Jason Abbott and Ahmad Abdel-Wahed and Marina Berbic and Vivian Brache and Daniel Breitkoph and Andrew Brill and Michael Broder and Ivo Brosens and Kristoph Chwalisz and Justin Clark and Catherine d'Arcangues and Margit Dueholm and Emanuel, {Hans Mark} and Cynthia Farquhar and Mario Festin and Fong, {Yoke Fai} and Marc Fritz and Guo, {Sun Wei} and Stephan Gordts and Grigoris Grizimbis and Sioban Harlow and Oskari Heikinheimo and Martha Hickey and Jennifer Higham and William Hurd and Keith Isaacson and Julia Johnson and Ricardo Lasmar and Lee Learman and Charles Lockwood and Andrea Lukes and Diana Mansur and Kristen Matteson and Scott Monroe and Ian Milsom and Andrew Mok and Evan Myers and Anita Nelson and Shaughn O'Brien and David Olive and Stewart, {Elizabeth A}",
year = "2018",
month = "12",
day = "1",
doi = "10.1002/ijgo.12666",
language = "English (US)",
volume = "143",
pages = "393--408",
journal = "International Journal of Gynecology and Obstetrics",
issn = "0020-7292",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

TY - JOUR

T1 - The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years

T2 - 2018 revisions

AU - the FIGO Menstrual Disorders Committee

AU - Munro, Malcolm G.

AU - Critchley, Hilary O.D.

AU - Fraser, Ian S.

AU - Haththotuwa, Rohana

AU - Kriplani, Alka

AU - Bahamondes, Luis

AU - Füchtner, Carlos

AU - Tonye, Rebecca

AU - Archer, David

AU - Abbott, Jason

AU - Abdel-Wahed, Ahmad

AU - Berbic, Marina

AU - Brache, Vivian

AU - Breitkoph, Daniel

AU - Brill, Andrew

AU - Broder, Michael

AU - Brosens, Ivo

AU - Chwalisz, Kristoph

AU - Clark, Justin

AU - d'Arcangues, Catherine

AU - Dueholm, Margit

AU - Emanuel, Hans Mark

AU - Farquhar, Cynthia

AU - Festin, Mario

AU - Fong, Yoke Fai

AU - Fritz, Marc

AU - Guo, Sun Wei

AU - Gordts, Stephan

AU - Grizimbis, Grigoris

AU - Harlow, Sioban

AU - Heikinheimo, Oskari

AU - Hickey, Martha

AU - Higham, Jennifer

AU - Hurd, William

AU - Isaacson, Keith

AU - Johnson, Julia

AU - Lasmar, Ricardo

AU - Learman, Lee

AU - Lockwood, Charles

AU - Lukes, Andrea

AU - Mansur, Diana

AU - Matteson, Kristen

AU - Monroe, Scott

AU - Milsom, Ian

AU - Mok, Andrew

AU - Myers, Evan

AU - Nelson, Anita

AU - O'Brien, Shaughn

AU - Olive, David

AU - Stewart, Elizabeth A

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Background: The International Federation of Gynecology and Obstetrics (FIGO) systems for nomenclature of symptoms of normal and abnormal uterine bleeding (AUB) in the reproductive years (FIGO AUB System 1) and for classification of causes of AUB (FIGO AUB System 2; PALM-COEIN) were first published together in 2011. The purpose was to harmonize the definitions of normal and abnormal bleeding symptoms and to classify and subclassify underlying potential causes of AUB in the reproductive years to facilitate research, education, and clinical care. The systems were designed to be flexible and to be periodically reviewed and modified as appropriate. Objectives: To review, clarify, and, where appropriate, revise the previously published systems. Methodology and outcome: To a large extent, the process has been an iterative one involving the FIGO Menstrual Disorders Committee, as well as a number of invited contributions from epidemiologists, gynecologists, and other experts in the field from around the world between 2012 and 2017. Face-to-face meetings have been held in Rome, Vancouver, and Singapore, and have been augmented by a number of teleconferences and other communications designed to evaluate various aspects of the systems. Where substantial change was considered, anonymous voting, in some instances using a modified RAND Delphi technique, was utilized.

AB - Background: The International Federation of Gynecology and Obstetrics (FIGO) systems for nomenclature of symptoms of normal and abnormal uterine bleeding (AUB) in the reproductive years (FIGO AUB System 1) and for classification of causes of AUB (FIGO AUB System 2; PALM-COEIN) were first published together in 2011. The purpose was to harmonize the definitions of normal and abnormal bleeding symptoms and to classify and subclassify underlying potential causes of AUB in the reproductive years to facilitate research, education, and clinical care. The systems were designed to be flexible and to be periodically reviewed and modified as appropriate. Objectives: To review, clarify, and, where appropriate, revise the previously published systems. Methodology and outcome: To a large extent, the process has been an iterative one involving the FIGO Menstrual Disorders Committee, as well as a number of invited contributions from epidemiologists, gynecologists, and other experts in the field from around the world between 2012 and 2017. Face-to-face meetings have been held in Rome, Vancouver, and Singapore, and have been augmented by a number of teleconferences and other communications designed to evaluate various aspects of the systems. Where substantial change was considered, anonymous voting, in some instances using a modified RAND Delphi technique, was utilized.

KW - Abnormal uterine bleeding

KW - Adenomyosis

KW - Anovulatory bleeding

KW - Arteriovenous malformation

KW - Coagulopathy

KW - Endometrial hyperplasia

KW - Endometrial polyp

KW - FIGO

KW - Heavy menstrual bleeding

KW - Heavy uterine bleeding

KW - Intermenstrual bleeding

KW - Irregular menstrual bleeding

KW - Irregular uterine bleeding

KW - Isthmocele

KW - Leiomyoma

KW - Menorrhagia

KW - Metrorrhagia

KW - PALM-COEIN

UR - http://www.scopus.com/inward/record.url?scp=85054674998&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054674998&partnerID=8YFLogxK

U2 - 10.1002/ijgo.12666

DO - 10.1002/ijgo.12666

M3 - Article

C2 - 30198563

AN - SCOPUS:85054674998

VL - 143

SP - 393

EP - 408

JO - International Journal of Gynecology and Obstetrics

JF - International Journal of Gynecology and Obstetrics

SN - 0020-7292

IS - 3

ER -