DOI: 10.36347/sjams.2022.v10i12.043

Pages: 2330-2335

Symptoms due to their diversity and variability are the most common reasons for consultation. The grouping of these symptoms into entities could guide explorations and facilitate clinicians' diagnosis: leucorrhoea, pelvic pain, disorders of the cycle and genital hemorrhages, sexual disorders, urinary and rectal disorders, symptoms of breast fertility. To better target the diagnosis of common pathology, we have undertaken a study to determine the reasons for consultation in gynecology at CHU GABRIEL TOURE in Bamako. It consisted of a systematic collection of information on patients who had consulted the gynecology department from 1 January 2008 to 31 December 2009. It was found that women in periods of genital activity (15 to 49 years) constituted 86.3% 'sample. They were housewives in 58.5% of the cases and the average age of the consultants was 32.29 years with extremes of 1 to 96 years. Pregnancy desire was 16.3%; Pelvic pain 11.6% and vulvovaginal pruritus 8.9%. Vaginitis was the most commonly observed diagnosis with 15.9% followed by secondary infertility with 11.1% and uterine fibroids 8.1%. In (25%) one in four women under 15 years old, a recent hymenal perforation has been found. Elsewhere in the 15-49 age group, the diagnoses were vaginitis, secondary sterility, with 17.4% and 12.8%, respectively. After menopause cervix cancer was frequently observed with 37.0% of cases. The pathologies frequently observed were: primary sterility (21.1%) in nulligest; Secondary sterility (27.6%) in primiparae; Vaginitis (16.9%) in multigest and cervix cancer (26.4%) in large multigesta. Vaginitis has been the pathology frequently observed in all occupational categories.