Jay Goldberg, MD, ob-gyn at Einstein Medical Center of Philadelphia, discusses treatment paradigms which can help clinicians manage abnormal uterine bleeding in their patients.
Please introduce yourself.
Jay Goldberg, MD:
Hi, I'm Jay Goldberg. I'm an ob-gyn from Philadelphia. I practice at Einstein Medical Center of Philadelphia, which is now part of the Jefferson Health System.
What are some of the clinical pearls of management of abnormal uterine bleeding?
The talk that I gave on abnormal uterine bleeding discusses that abnormal bleeding is one of the most common reasons for women to present for a problem visit to their ob-gyn. It went through the PALM - COEIN acronym, which is an acronym that goes through different etiologies of abnormal uterine bleeding and [helps physicians] organize their thought process to come up with the correct diagnosis, and accordingly to treat the problem appropriately.
Is there any specific take-home treatment paradigm that you want clinicians to think about when they encounter abnormal bleeding?
Yes, so ACOG’s reference is a good one to have. I think the important thing is to realize that whenever a woman presents with abnormal uterine bleeding, there may be many reasons for her to have the bleeding, and it's important to use the differential to try to come up with the diagnosis, both for diagnosis and for treatment.