异常子宫出血（abnormal uterine bleeding, AUB）指正常月经周期的任何变化，根据四个参数（频率、规律性、持续时间和经量）定义
国际妇产科联盟 PALM-COEIN 分类系统加深了对 AUB 病因的说明，促进了有效的病史采集和检查，并且能够针对个性化检查和管理计划实现共享决策
目前有一系列内科和外科治疗选项，可根据 AUB 的基础病因以及患者的年龄、产次、合并症、保留子宫和生育能力的需要及个人偏好来指导治疗选择
Janesh Gupta, MSc, MD, FRCOG
Professor of Obstetrics and Gynaecology
Centre for Women's and Newborn Health
Institute of Metabolism and Systems Research
University of Birmingham
Birmingham Women’s and Children’s Hospital
JG is an advisory member for Femcare Nikomed UK for the Filshie clip. He has received an HTA grant for the ECLIPSE trial; a randomised controlled trial comparing the Mirena coil with oral medical treatments for heavy menstrual bleeding. He has received travel costs for training workshops for Dilapan-S osmotic dilators for abortion and the induction of labour (Medicem).
Akanksha Sood, MBBS, MS (OBGY), DNB, MRCOG, FACOG
Senior Clinical Fellow
Department of Reproductive Medicine
St. Mary’s Hospital
AS declares that she has no competing interests.
Rohan Chodankar, MBBS, MD, MRCOG
Clinical Research Fellow
MRC Centre for Reproductive Health
The Queen's Medical Research Institute
University of Edinburgh
RC is supported as a Clinical Research Fellow by Bayer AG; RC declares that he has no other competing interests.
Professor Gupta, Dr Sood, and Dr Chodankar would like to gratefully acknowledge Dr Mohamed Mitwally and Dr Intisar Elnahhas, the previous contributors to this topic. MM owns a patent on the use of aromatase inhibitors for endometrial thinning before hysteroscopic surgery. The patent is licensed to Meditrina Company. IE declares that she has no competing interests.
Janet Albers, MD
Department of Family and Community Medicine
Southern Illinois University School of Medicine
JA is an author of a reference cited in this topic.
Sarina Schrager, MD, MS
Associate Professor (CHS)
Department of Family Medicine
University of Wisconsin
SS declares that she has no competing interests.