The Seasoned Sonographer

Uncovering AUB: From Ultrasound to Exam Room


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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 AcademyThe Seasoned Sonographer Podcast by Lynn Flamm, RDMS. All Rights Reserved

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at [email protected].

 

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

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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The Seasoned SonographerBy Lynn Flamm