Abnormal Uterine Bleeding / Pipelle sampling

For primary care practitioners to identify, assess and manage females with Abnormal Uterine Bleeding. 

Learning objectives:

By the end of this module, learners will be able to:

• Define and classify Abnormal Uterine Bleeding (AUB) using current FIGO terminology.
• Recognise AUB as an important presenting symptom of possible endometrial pathology.
• Identify patients requiring early investigation, with an equity lens.
• Take a focused, culturally responsive history and examination.
• Order and interpret investigations appropriately.
• Identify indications for Pipelle and perform sampling safely (if trained).
• Start evidence-based first-line management in primary care.
• Recognise red flags and refer appropriately.

Key document: Assessment and management of Abnormal Uterine Bleeding (AUB) in non-pregnant women of reproductive age Health New Zealand (2026)

Acknowledgements

This content has been developed by Katie McCullough, Nurse Practitioner - Mātanga Tapuhi, MNSc (hons) reviewed by Dr Wendy Burgess, Ngāti Kahungunu/Ngāti Hawea. Obstetrician Gynaecologist, Waitematā DHB. 

It was supported through an unrestricted educational grant from: