Quick Answer
AUB classification using PALM-COEIN is heavily tested in NEET-PG & INICET OBG — 1-2 marks per paper. PALM = structural causes (Polyp, Adenomyosis, Leiomyoma, Malignancy). COEIN = non-structural (Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not classified). Reproductive age AUB → think structural; perimenopausal → exclude malignancy.
Key Concepts to Lock In
- 1PALM = Structural causes — Polyp, Adenomyosis, Leiomyoma, Malignancy/hyperplasia
- 2COEIN = Non-structural — Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not classified
- 3Investigation of choice for AUB: Transvaginal Ultrasound (TVS)
- 4Endometrial thickness >4 mm (postmenopausal): mandatory biopsy
- 5Adolescent AUB: usually anovulatory; adult: consider fibroid, polyp; perimenopausal: exclude malignancy
- 6First-line medical: Tranexamic acid + NSAIDs + COCs
- 7Heavy AUB with fibroids: GnRH agonists, hysterectomy
NEET-PG & INICET Relevance
| NEET-PG & INICET Subject | Obstetrics & Gynecology |
| Expected questions | 1-2 marks per paper |
| Question type | Mostly clinical vignettes; some direct recall |
| Repeated in last 5 years | Yes — appears in nearly every session |
Related High-Yield Topics
Pro tip: reading this page once is not enough. Pair the concepts above with 20-30 NEET-PG & INICET-style PYQs on this topic, then revisit after 7 days. Spaced practice is what locks high-yield topics into long-term recall for exam day.
Frequently Asked Questions
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