Chronic abnormal uterine bleeding evaluation: PALM-COEIN worksheet

Name:
Date:
PALM-COEIN category	Not assessed	Absent	Present	Diagnostic method	✓	Date	Comment
Polyps				Vaginal ultrasound
				Vaginal ultrasound with contrast
				Hysteroscopy
				Hysterosalpingogram
				MRI
				Histopathology
Adenomyosis				Vaginal ultrasound
				Hysteroscopy
				MRI
				Histopathology
Leiomyoma				Vaginal ultrasound
				Vaginal ultrasound with contrast
				Hysteroscopy
				Hysterosalpingogram
				Laparoscopy
				MRI
				Histopathology
Malignancy and hyperplasia				Endometrial biopsy
Coagulopathy				Laboratory
Ovulatory disorders				History
				Basal body temperature
				Serum progesterone
				Other
Endometrial disorders				History
Iatrogenic				History
Not otherwise classified				Vaginal ultrasound
				Vaginal ultrasound with contrast
				Hysteroscopy
				Hysterosalpingogram
				Laparoscopy
				MRI
				Biopsy
Notes:

MRI: magnetic resonance imaging.

Reproduced with permission from Malcolm G Munro, MD, FRCSC, FACOG.

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