Menstrual Disorders & Abnormal Uterine Bleeding (AUB)
Heavy periods, irregular cycles, or absent periods are not “just normal.” They are diagnostic clues. We use the FIGO PALM-COEIN framework to identify the underlying cause and offer targeted, evidence-based treatment.
Abnormal uterine bleeding (AUB) affects up to 30% of women in reproductive years. Treatment depends on the specific cause — structural (PALM) or non-structural (COEIN) — not on the bleeding pattern alone.
Key Points
- FIGO PALM-COEIN systematic classification
- Targeted hormonal workup
- Pelvic ultrasound + saline-infusion sonography where indicated
- Hormonal IUDs, oral contraceptives, tranexamic acid for medical management
- Hysteroscopic polypectomy or myomectomy for structural causes
- Endometrial ablation or hysterectomy only when family is complete and conservative approaches fail
This page is being expanded. Full content with diagnostic pathway, treatment options, FAQs, and Dr. Patel’s clinical philosophy on menstrual disorders is coming soon. For now, please book a consultation for personalised care.
