A national survey of gynecologists on current practice patterns for management of abnormal uterine bleeding in South Korea

Abstract

Objective: To evaluate practice patterns of gynecologists in the management of abnormal uterine bleeding (AUB) in South Korea.

Methods: Between February 24 and March 12, 2014, a cross-sectional survey was performed through face-to-face interviews with 100 gynecologists selected through quota sampling reflecting regions and hospital types. Through the use of a questionnaire, the level of awareness and practice patterns regarding diagnosis and management of AUB were evaluated.

Results: Among 100 respondents, 60 reported that they had not previously heard of the International Federation of Gynecology and Obstetrics (FIGO) classification system. The standardization of AUB terminology was reported to be necessary or very necessary by 70 respondents. Pelvic ultrasonography would be used for diagnosis by 99 physicians. The most common first-line AUB treatment was combined oral contraceptives: 55 respondents would use them for heavy menstrual bleeding, 56 for intermenstrual bleeding, and 56 for polycystic ovary syndrome. Combined oral contraceptives were the preferred follow-up medication: 30 would use them for heavy menstrual bleeding, 24 for intermenstrual bleeding, and 52 for polycystic ovary syndrome.

Conclusion: Despite implementation of the FIGO AUB classification system and guidelines, awareness and use among gynecologists in South Korea remains low.

Keywords: Abnormal uterine bleeding; Clinician survey; Management.