Objective: To describe the epidemiological, clinical and therapeutic aspects\nof cases of vaginal bleeding in the nonpregnant patient received in emergency\nat Yalgado OUEDRAOGO University Hospital. Materials and Methods: It\nwas a retrospective and descriptive study that involved the clinical records of\n326 patients collected from January 01, 2009 to December 31, 2013. Results:\nThe average age of women was 47 years old with extremes at 12 and 82 years\nold. Women of childbearing age accounted for 61.6% and postmenopausal\nwomen 18.7%. 70.7% of women were pauciparous or nulliparous. Menorrhagia\nand pelvic pain were the main signs associated. This symptomatology required\nhospitalization in 85.2% of cases. The main aetiologies were uterine\nmyomas 49.69%, cervical cancer 23% and functional metrorrhagia 11.04%.\nProgestin was the most used drug in 67.1% of cases. Total abdominal hysterectomy\nand abdominal myomectomy were the most commonly used surgical\nmethods with 22.3%, 44.4% of cases. Eleven death cases were observed. Conclusion:\nGynecological metrorrhagia is more common in women of childbearing\nage than in menopausal women. The main causes are fibroma, cervical\ncancer and functional metrorrhagia.
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