Topics covered in this episode:

Definition of Abnormal Uterine Bleeding (AUB) and why it matters

FIGO’s PALM-COEIN classification system (structural vs non-structural causes)

Sonographic evaluation of the endometrium: thickness, echotexture, and Doppler findings

Key ultrasound patterns of polyps, fibroids, adenomyosis, and hyperplasia

Postmenopausal bleeding and when endometrial thickness is concerning

How providers use ultrasound reports to guide treatment and biopsy decisions

Communication tips: explaining findings to patients without creating fear

Collaboration between sonographers and providers for best patient outcomes

Guest Interview Highlights:

Logan Colvis, PA shares real-world cases, diagnostic challenges, and the role ultrasound plays in shaping management decisions for women with AUB.

Takeaway Pearls:

Always measure and document endometrial thickness in the sagittal plane

Endometrial appearance must be interpreted in the context of age, cycle, and symptoms

Structural causes (polyps, fibroids, adenomyosis) have distinct ultrasound patterns

Clear sonographer reporting = better, faster, and safer patient care

© 2025 Sono Techniques Academy – The Seasoned Sonographer Podcast by Lynn Flamm, RDMS. All Rights Reserved

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Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

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