Abnormal Uterine Bleeding: Saudi Guideline

Abstract

The objective of the review was to provide Saudi clinicians with an evidence-based guideline that would aid them in the management of women with abnormal uterine bleeding (AUB). We put together a task force of Saudi experts to produce the guideline in 2024. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach to summarize the evidence and assess the quality. We presented our findings based on the International Federation of Gynecology and Obstetrics (FIGO) classification of AUB: the PALM-COEIN system. The goal of these recommendations is to stop acute bleeding, prevent heavy bleeding in the future, or improve the quality of life. This guideline summarized the recommendations based on pharmacological and surgical management of AUB. The task force’s recommendations are based on a thorough review of the literature and on expert opinion. There is a great need for research on the use of the different AUB treatment modules and cost analyses in the Saudi context.