Perdarahan Uterus Abnormal
DOI:
https://doi.org/10.29103/jkkmm.v2i6.10676Keywords:
Perdarahan uterus abnormal, PALM-COEIN, FIGOAbstract
Perdarahan uterus abnormal (PUA) merupakan kelainan di bidang ginekologi yang paling sering dialami oleh perempuan usia produktif yang ditandai dengan adanya perubahan pada siklus menstruasi baik dari interval atau panjang siklus, durasi maupun jumlah perdarahan. Dampak perdarahan uterus abnormal pada usia produktif diseluruh dunia cukup banyak dengan prevalensi sekitar 3-30%. Federation of Gynecology and Obstetrics (FIGO) mengklasifikasikan PUA menurut etiologinya menjadi struktural dan nonstruktural menggunakan PALM-COEIN: Polip, Adenomiosis, Leiomioma, Malignansi Dan Hiperplasia, Coagulopathy, Disfungsi Ovarium, Endometrial, Iatrogenik, dan Not Yet Classified. Klasifikasi PALM-COEIN dapat ditegakkan apabila terdapat riwayat pasien yang lengkap dikombinasikan dengan tes pencitraan yang tepat, analisis histopatologis ataupun pemeriksaan laboratorium untuk memastikan pendekatan diagnostik dan pengobatan yang akurat. Pada dasarnya tujuan penatalaksanaan PUA adalah memperbaiki keadaan umum, menghentikan perdarahan, dan mengembalikan fungsi hormon reproduksi. Menghentikan perdarahan dapat dilakukan dengan medikamentosa, dilatasi dan kuretase, maupun tindakan operatif.
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