Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter

Erkan Mavigök; Abdulkadir Yasir Bahar; Murat Bakacak; Alev Özer; Abdullah Tok; Selim Karaküçük; Kemal Hansu; Bülent Köstü

Correction: Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter

The original article was published on July 16, 2026. https://dergipark.org.tr/en/pub/acmj/article/1933489

Erratum Note

In the original article, the author list for reference number 9 was incorrectly reported as "Camur D, Vaizoglu SA, Guler C". At the request of the authors, the author list for this reference has been corrected to "Çamur D, Bilgin AC, Turunç Ö, Yalçın BNB, Kılınç Z, Savaş N, İnandı T, Kılıç B" to reflect the accurate authorship of the cited work. This correction does not affect the content or conclusions of the article. The authors apologize for this oversight.

Abstract

Aims: Abnormal uterine bleeding (AUB) is a complex condition accounting for one-third of gynecological visits. This study aims to determine AUB etiologies using the FIGO PALM-COEIN system and investigate the clinical association between the 2023 Kahramanmaraş earthquake and the incidence of suspected ovulatory dysfunction (AUB-O), discussing potential stress induced mechanisms based on the existing literature. Methods: A retrospective cohort study (following STROBE guidelines) was conducted on 5.174 patients (ICD-10: N92, N93) at the earthquake's epicenter between January 2020 and December 2025. Patients were categorized by age and presentation periods (pre-and post-earthquake). Histopathological data from 3.120 procedures were analyzed in light of the FIGO 2023 classification. Results: The mean age was 39.7±11.4 years. The proportion of presentations for unspecified irregular menstruation (used as a clinical proxy for AUB-O) increased from 18% in the pre-earthquake period to 31% in the post-earthquake period (p<0.001). In women aged 18-35 years, the risk of suspected AUB-O increased 1.82-fold (95% CI: 1.45-2.29, p<0.001). Premalignant/malignant lesions were detected in 2.3% of cases. Notably, 15% of carcinomas occurred in premenopausal patients, including a FIGO grade 1 adenocarcinoma in a 29-year-old. Conclusion: Catastrophic environmental stressors are significantly associated with an increased incidence of AUB-O presentations, a trend that existing literature suggests may be linked to stress-induced HPO axis disruption. The findings emphasize integrating psychosocial support into disaster response and maintaining high clinical suspicion for malignancy in all age groups presenting with treatment-resistant AUB.

Keywords

Supporting Institution

Kurum Adı: Kahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Obstetrics and Gynecology Kahramanmaraş /Türkiye

Ethical Statement

"This retrospective study was conducted in accordance with the Declaration of Helsinki. Ethical approval for the study was obtained from the Clinical Research Ethics Committee of Kahramanmaraş Sütçü İmam University (Approval Number: 2025/38-02, Date: December 29, 2025). As this research involved a retrospective analysis of clinical records, informed consent was waived by the institutional ethics committee, ensuring all patient data remained anonymous and strictly confidential throughout the data processing and analysis phases."

References

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Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Erratum

Authors

Erkan Mavigök ^*
0009-0000-0867-1106
Türkiye

Abdulkadir Yasir Bahar
0000-0002-6963-3389
Türkiye

Murat Bakacak
0000-0003-4398-7055
Türkiye

Alev Özer
0000-0002-0934-0226
Türkiye

Abdullah Tok
0000-0003-0998-5531
Türkiye

Selim Karaküçük
0000-0002-9317-7926
Türkiye

Kemal Hansu
0000-0002-1204-9093
Türkiye

Bülent Köstü
0000-0003-2349-7569
Türkiye

Publication Date

September 11, 2026

Submission Date

July 24, 2026

Acceptance Date

August 24, 2026

Published in Issue

Year 2026 Volume: 8 Number: 5

IZ

https://izlik.org/JA39HS82PK

Cite

RIS / Bibtex

APA

Mavigök, E., Bahar, A. Y., Bakacak, M., Özer, A., Tok, A., Karaküçük, S., Hansu, K., & Köstü, B. (2026). Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter. Anatolian Current Medical Journal, 8(5), 1085-1085. https://izlik.org/JA39HS82PK

AMA

1.Mavigök E, Bahar AY, Bakacak M, et al. Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter. Anatolian Curr Med J / ACMJ / acmj. 2026;8(5):1085-1085. https://izlik.org/JA39HS82PK

Chicago

Mavigök, Erkan, Abdulkadir Yasir Bahar, Murat Bakacak, et al. 2026. “Abnormal Uterine Bleeding in the Wake of Disaster: A 5-Year Analysis of Clinical Trends and the FIGO 2023 Paradigm at the Earthquake Epicenter”. Anatolian Current Medical Journal 8 (5): 1085-85. https://izlik.org/JA39HS82PK.

EndNote

Mavigök E, Bahar AY, Bakacak M, Özer A, Tok A, Karaküçük S, Hansu K, Köstü B (September 1, 2026) Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter. Anatolian Current Medical Journal 8 5 1085–1085.

IEEE

[1]E. Mavigök et al., “Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter”, Anatolian Curr Med J / ACMJ / acmj, vol. 8, no. 5, pp. 1085–1085, Sept. 2026, [Online]. Available: https://izlik.org/JA39HS82PK

ISNAD

Mavigök, Erkan - Bahar, Abdulkadir Yasir - Bakacak, Murat - Özer, Alev - Tok, Abdullah - Karaküçük, Selim - Hansu, Kemal - Köstü, Bülent. “Abnormal Uterine Bleeding in the Wake of Disaster: A 5-Year Analysis of Clinical Trends and the FIGO 2023 Paradigm at the Earthquake Epicenter”. Anatolian Current Medical Journal 8/5 (September 1, 2026): 1085-1085. https://izlik.org/JA39HS82PK.

JAMA

1.Mavigök E, Bahar AY, Bakacak M, Özer A, Tok A, Karaküçük S, Hansu K, Köstü B. Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter. Anatolian Curr Med J / ACMJ / acmj. 2026;8:1085–1085.

MLA

Mavigök, Erkan, et al. “Abnormal Uterine Bleeding in the Wake of Disaster: A 5-Year Analysis of Clinical Trends and the FIGO 2023 Paradigm at the Earthquake Epicenter”. Anatolian Current Medical Journal, vol. 8, no. 5, Sept. 2026, pp. 1085-, https://izlik.org/JA39HS82PK.

Vancouver

1.Erkan Mavigök, Abdulkadir Yasir Bahar, Murat Bakacak, Alev Özer, Abdullah Tok, Selim Karaküçük, Kemal Hansu, Bülent Köstü. Abnormal uterine bleeding in the wake of disaster: a 5-year analysis of clinical trends and the FIGO 2023 paradigm at the earthquake epicenter. Anatolian Curr Med J / ACMJ / acmj [Internet]. 2026 Sep. 1;8(5):1085-. Available from: https://izlik.org/JA39HS82PK