Assessment of the Motivation for Consultation in the Gynecology Department at the University Teaching Hospital Gabriel Toure of Bamako

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.