The AUB PALM-COEIN classification (FIGO 2011) categorizes causes of abnormal uterine bleeding. Which of the following correctly lists the structural causes (PALM)?

• A Polyp, Adhesion, LVSI, Malignancy
• B Polycythemia, Anemia, Low platelets, Malignancy
• C PCOS, Adenomyosis, Luteal phase defect, Myoma
• D Polyp, Adenomyosis, Leiomyoma, Malignancy and hyperplasia ✓

Explanation

The PALM-COEIN classification divides AUB causes into structural (PALM: Polyp, Adenomyosis, Leiomyoma, Malignancy and hyperplasia) and non-structural (COEIN: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not yet classified) categories. This replaced older terminology (menorrhagia, polymenorrhea, etc.) with descriptive bleeding pattern terms (HMB, IMB, etc.) and etiological categories. It standardizes evaluation and management.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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