EPISODE · Oct 1, 2025 · 20 MIN
Uncovering AUB: From Ultrasound to Exam Room
from The Seasoned Sonographer · host Lynn Flamm
Topics covered in this episode:Definition of Abnormal Uterine Bleeding (AUB) and why it mattersFIGO’s PALM-COEIN classification system (structural vs non-structural causes)Sonographic evaluation of the endometrium: thickness, echotexture, and Doppler findingsKey ultrasound patterns of polyps, fibroids, adenomyosis, and hyperplasiaPostmenopausal bleeding and when endometrial thickness is concerningHow providers use ultrasound reports to guide treatment and biopsy decisionsCommunication tips: explaining findings to patients without creating fearCollaboration between sonographers and providers for best patient outcomesGuest 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 planeEndometrial appearance must be interpreted in the context of age, cycle, and symptomsStructural causes (polyps, fibroids, adenomyosis) have distinct ultrasound patternsClear sonographer reporting = better, faster, and safer patient care© 2025 Sono Techniques Academy – The 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.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.
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What this episode covers
Abnormal uterine bleeding (AUB) is one of the most common reasons patients are referred for gynecologic ultrasound, yet it can be one of the most complex conditions to evaluate. In this episode of The Seasoned Sonographer, Lynn Flamm, RDMS, explores the clinical and imaging aspects of AUB and how sonographers can make a real difference in patient care. Special guest Physician Assistant Logan Colvis joins to share the provider’s perspective on evaluating AUB in the clinic. Together, they discuss the FIGO PALM-COEIN classification system, the role of ultrasound in identifying structural causes, and how providers integrate imaging findings into management decisions. Whether you’re a sonographer, student, or women’s health provider, this episode will give you practical insights, diagnostic pearls, and collaborative tips for approaching AUB from both the ultrasound room and the exam room.
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Uncovering AUB: From Ultrasound to Exam Room
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