<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>BACKGROUND</h3>
<p>Abnormal uterine bleeding is a common problem not only cause health disturbance but also affect the physical, social, emotional status, and quality of life of a women. The most common symptom is abnormally heavy or prolonged uterus bleeding. FIGO introduces nine categories cause of abnormal uterine bleeding, which are known as “PALM-COEIN.” In general, components in “PALM” are components of structural abnormality, which can be diagnosed by imaging and/or histopathological examination, while “COEIN” includes non-structural abnormality.</p>
</sec>
<sec><h3>CASE REPORT</h3>
<p>A 17-year-old female without a history of sexual intercourse came to the gynecology polyclinic of the University Of North Sumatra hospital with a chief complaint of irregular menstruation that had been experienced by the patient since 5 months ago. The patient claimed to have had menstruation for 10−14 days, 4−5 times changing pads. Gynecology examination was within normal limits. Blood analysis has been done 3 times and the results came up with a significant decrease of platelet counts and hemoglobin levels.</p>
<p>Transabdomen ultrasonography was done and showed no abnormality found. The patient was diagnosed with AUB-C in acute lymphoblastic leukemia.</p>
</sec>
<sec><h3>CONCLUSION</h3>
<p>Abnormal uterine bleeding (AUB) is a common finding in women during their reproductive years. There are steps on how to diagnose an abnormal uterine bleeding disorder (AUB) based on comprehensive history taking, followed by a physical and additional workup.</p>
</sec>
</abstract>

BACKGROUND
Abnormal uterine bleeding is a common problem not only cause health disturbance but also affect the physical, social, emotional status, and quality of life of a women. The most common symptom is abnormally heavy or prolonged uterus bleeding. FIGO introduces nine categories cause of abnormal uterine bleeding, which are known as “PALM-COEIN.” In general, components in “PALM” are components of structural abnormality, which can be diagnosed by imaging and/or histopathological examination, while “COEIN” includes non-structural abnormality.

CASE REPORT
A 17-year-old female without a history of sexual intercourse came to the gynecology polyclinic of the University Of North Sumatra hospital with a chief complaint of irregular menstruation that had been experienced by the patient since 5 months ago. The patient claimed to have had menstruation for 10−14 days, 4−5 times changing pads. Gynecology examination was within normal limits. Blood analysis has been done 3 times and the results came up with a significant decrease of platelet counts and hemoglobin levels.
Transabdomen ultrasonography was done and showed no abnormality found. The patient was diagnosed with AUB-C in acute lymphoblastic leukemia.

CONCLUSION
Abnormal uterine bleeding (AUB) is a common finding in women during their reproductive years. There are steps on how to diagnose an abnormal uterine bleeding disorder (AUB) based on comprehensive history taking, followed by a physical and additional workup.

Challenges in Managing AUB-C in Adolescence with Acute Lymphoblastic Leukemia in North Sumatera, Indonesia: A Case Report

Division of Fertility and Reproductive Endocrinology, Department of Obstetrics and Gynecology, Faculty of Medical

Department of Obstetrics and Gynecology, Faculty of Medical

Open Access Macedonian Journal of Medical Sciences

This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

BACKGROUND
Abnormal uterine bleeding is a common problem not only cause health disturbance but also affect the physical, social, emotional status, and quality...

Challenges in Managing AUB-C in Adolescence with Acute Lymphoblastic Leukemia in North Sumatera, Indonesia: A Case Report

Published Online: Dec 25, 2023

Page range: 84 - 88

Received: Oct 05, 2022

Accepted: Dec 12, 2022

DOI: https://doi.org/10.3889/oamjms.2023.11059

Keywords
Abnormal uterine bleeding, Acute lymphoblastic leukemia, Menstrual bleeding, PALM-COEIN

© 2023 Muhammad Fidel Ganis Siregar et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

Challenges in Managing AUB-C in Adolescence with Acute Lymphoblastic Leukemia in North Sumatera, Indonesia: A Case Report

Published Online: Dec 25, 2023

Page range: 84 - 88

Received: Oct 05, 2022

Accepted: Dec 12, 2022

DOI: https://doi.org/10.3889/oamjms.2023.11059

KeywordsAbnormal uterine bleeding, Acute lymphoblastic leukemia, Menstrual bleeding, PALM-COEIN

© 2023 Muhammad Fidel Ganis Siregar et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

Keywords
Abnormal uterine bleeding, Acute lymphoblastic leukemia, Menstrual bleeding, PALM-COEIN