ContextThe mistreatment of women in gynecology and obstetrics is practiced in all regions of the world. Studies conducted in Guinea have reported compelling evidence of this practice in gynecology and obstetrics services within health facilities. A prevention and response programme against this mistreatment was initiated and implemented in different regions of the country. The intervention for the prevention and struggle against this mistreatment in gynecology and obstetrics focused on raising awareness among women in the community through community health workers and community relays who received training for this purpose.PurposeThis study aims to determine the changes adopted after the implementation of the intervention by comparing the perceptions of women in the community before and after the intervention.MethodsThis was a qualitative study conducted before and after the intervention to assess the changes perceived by women in the community. A purposive sample of 30 women before and 30 after the intervention was used. Community health workers and community relays, who also live and work within the community, identified and selected participants who met the criteria. Data were collected through in-depth individual interviews (IDIs) with 60 women of reproductive age in the community and analyzed using a thematic approach. Community awareness-raising for the prevention of mistreatment was carried out by community health workers and community relays.ResultsThe women in the community mostly reported a reduction in the frequency of mistreatment in gynecology and obstetrics, especially physical violence. However, according to some women, verbal violence and other forms of mistreatment persist.ConclusionThis intervention has shown signs of improvement in preventing and combating physical violence, but structural and relational forms of violence persist.

Objective: To evaluate the effects of the intervention on the prevention of mistreatment of women in gynecology and obstetrics units in Guinea. Material and Methods: A pre-post intervention study was conducted to assess the effects of the intervention. The study was carried out on a sample of clients were interviewed before and after the training. The impact of provider training was analyzed using robust Poisson regression models for binary variables. Results: Multivariate analyses showed an association between the intervention and overall reduction in the risk of experiencing violence or mistreatment of 43% in gynecology (adjusted RR = 0.57; 95% CI: 0.53- 0.62) and 44% in obstetrics (adjusted RR = 0.56; 95% CI: 0.53- 0.59). In gynecology, physical violence decreased by 30% and verbal violence by 22%. In obstetrics, decreases were similar, with a 31% reduction in physical violence and a 27% reduction in verbal violence. All estimates were statistically significant (p < 0.001) after adjustment for confounders. Conclusion: The intervention contributed to a significant reduced mistreatment in gynecology and obstetrics services. Continued professional training and community awareness are effective strategies for preventing obstetric and gynecological violence.

Abdominal pregnancy is a rare form of ectopic pregnancy, in which the fertilized egg implants and develops in the abdominal cavity. Diagnosis and management are difficult. We report the case of a 31 year-old female accountant referred from a local clinic for abdominal pregnancy in the context of 10 years of primary infertility. Despite the presence of suggestive signs and the number of ultrasounds performed, it was not until the 29th and 31st weeks that the diagnosis of abdominal pregnancy was made. We performed a laparotomy at 37 weeks and extracted a healthy live infant. Fetal extraction led to placental intrusion, the after-effects of which were enamelled with haemorrhagic complications originating from the placenta. These led to a right adnexectomy removing the placenta after an unsuccessful attempt to stop the abundant haemorrhage originating from the placenta. The immediate post-operative course was straightforward, with the patient discharged on the third post-operative day and the newborn well. The importance of this case is to underline the delay in making the diagnosis of abdominal pregnancy in our environment, despite the more frequent use of ultrasound and the possibility of full-term delivery of a healthy child. Conclusion: Abdominal pregnancy is a rare event. It is difficult to diagnose, and a conservative attitude to pregnancy is possible.

Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients who received a single dose of 2g of antibiotics intraoperatively after cord clamping while the other 125 patients (long protocol) received antibiotic therapy for 48 hours after the procedure. Results: The sociodemographic profile of the patients was the same in both arms. The mean age of the patients was 24 years with extremes of 14 and 42 years; the 20-24 age group was the most represented (31.2% vs 32.8%). Our series was dominated by primiparas (40% vs 42%). The main mode of admission was evacuation (78.4% vs 64%). The main early postoperative complication encountered was fever (8.2% vs 13.2%) followed by surgical site infection (4% vs 12%). Bivariate analysis shows a statistically significant association between the occurrence of postoperative fever and the long antibiotic protocol (p = 0.028) and this protocol is a protective factor against surgical site infection (p = 0.013). And is more frequently used in the context of emergency cesarean section (p = 0.011). Conclusion: Antibiotic prophylaxis is as effective as antibiotic therapy and thus represents a significant health saving for our countries.

Introduction: The native arteriovenous fistula (AVF) for hemodialysis is the surgical anastomosis between a neighboring artery and vein in order to have sufficient blood flow for hemodialysis [5] .These vascular approaches can have complications such as hemorrhage, thrombosis, infection, stenosis, aneurysm, high flow and distal limb ischemia [ 6] . Arteriovenous fistula hyperflow for haemodialysis is defined as a fistula flow rate in excess of 1.5 liters per minute [1-2]. Observation: This is a 47-year-old patient, followed for 07 years for progressive hepatitis B, diagnosed with CKD since 2020. She benefited from a humerobasilic AVF (with which she was dialyzed for 03 years) and was referred to us for management of hyperflow on the AVF. The patient presented with bleeding at the AVF puncture sites after each session, with hemostasis becoming increasingly difficult through compression. This prompted a Doppler ultrasound, which revealed a hyperflowing AVF (flow rate 2840ml/min). The left humeral AVF showed a significant flutter and a high-intensity thrill. Doppler ultrasonography of the AVF revealed hyperflow of the proximal AVF at 2340ml/min over the brachial artery. The basilic vein was patent, with a diameter of 9.6mm and a depth of 2.9mm. No stenosis or aneurysm on the AVF. The patient was offered two treatment options: banding of the AVF or ligation of the AVF combined with fabrication of a new AVF on the contralateral upper limb. Banding was therefore carried out. The outcome was favorable, with AVF flow reduced to a quarter of the initial rate. Keywords: Banding, Arteriovenous Fistula, Hyperflow, Festoc Center, Bamako. Impact of Employee Compensation and Benefits on Operating Performance This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Copyright © Author(s) retain the copyright of this article.

Objectifs de cette étude était de déterminer la prévalence hospitalière des infections nosocomiales. Patients et méthodes : Il s’agissait d’une étude prospective transversale descriptive sur une période de six (6) semaines. Résultats : 463 patients ont séjourné pendant au moins 48 heures. Parmi eux, 57 patients inclus soit une prévalence de 12,3%. L’âge moyen était de 45,4 ± 20,8 ans. La durée moyenne du séjour était de 21,7 ± 12,7 jours. Les patients provenaient de la réanimation (17,5%), la médecine interne et la neurologie dans 15,8% chacune. L’immunodépression au VIH a été retrouvée dans 14%. Un dispositif invasif était présent dans 93% des cas. Les prélèvements microbiologiques réalisés étaient : un examen cytobactériologique des urines (36 cas), un prélèvement de pus (19 cas), une hémoculture (23 cas). Les infections étaient urinaires (30 cas), du site opératoire (16 cas), une bactériémie (15 cas), une pneumopathie acquise sous ventilation mécanique (2 cas). Un germe était isolé dans ces prélèvements dans 94,4%. Les germes retrouvés étaient des entérobactéries (33 cas), des bacilles à Gram négatif non fermentant (12 cas), des cocci à Gram positif (6 cas) et des levures (3 cas). L’écologie était dominée par une résistance élevée des germes impliqués dans ces infections. Conclusion : Ce travail a montré une prévalence élevée des infections nosocomiales avec un profil de résistance varié des germes impliqués. Il est important d'élargir ce travail afin d'en tirer des recommandations fortes.

Cross-reinal ectopia implies that one of the two kidneys seats on the contralateral side, it is a congenital anomaly very rare. The two (2) Kidneys can be merged or not giving the superimposed kidney appearance. This anomaly is most often asymptomatic and fortuitous discovery (by imaging or reverse of an autopsy). We report observation of a 22-year-old patient carry of crossed renal ectopia with fusion discovery following of pelvian pain intermittent low intensity calmed down by paracetamol. The aim of this work was to bring the place of imaging in the therapeutic management of ectopic kidneys with review of the literature.

Background: Fetal death in utero (FDIU) often represents a tragedy badly lived, sometimes incomprehensible. It is considered as a failure of pregnancy's progress and monitoring. It is a frequent problem in obstetrical practice. Objective of study was to contribute to the study of FDIU in the maternity ward of the Ratoma municipal medical center.Methods: This was a prospective study of analytical type conducted over a period of 6 months from 1 January to 30 June 2017.Results: During this study period, we recorded 54 cases of FDIU out of a total of 1256 deliveries, or a frequency of 4.3%. The average age of our patients was 28.5 years with extremes of 16 to 39 years, the most represented age group was 25 to 34 years, with a frequency of 44.4%. The absence of active fetal movement was the main reason for consultation, with a frequency of 51.9%, and housewives were the most affected, with a frequency of 61.1%. The 70.4% of our patients gave birth by vaginal delivery and oxytocin was the most commonly used drug for induction of labor, i.e., 77.8%. The immediate maternal prognosis was 100% favorable and no case of maternal death was recordedConclusions: In-utero fetal death is a frequent obstetrical pathology, the awareness of women for the realization of ANC as well as the early management of risk factors detected during ANC constitutes an element of great importance. Therefore, a regular follow-up of all pregnant women even in the absence of risk factors proves necessary.

OBJECTIVE:to report the epidemiological, clinical, paraclinical and therapeutic characteristics of the first COVID 19 patients in intensive care.PATIENTS AND METHOD:retrospective descriptive and analyticalstudy over 4 months, covering all adult patients tested positive for SARS-Cov-2 and admitted to intensive care.RESULTS:49 patients, 35 men and 14 women (2% of cases) were admitted to intensive care. The median age was 64 years [26 - 92]. Hypertension (16; 32.6%), and diabetes (11; 22.4%) were the mostcommoncomorbidities. The most common symptoms on admission were cough (38; 80.9%), shortness of breath (35; 74.5%), and fever (33; 70.2%). The median time to onset of symptoms was 11 days. Non-invasive ventilation (NIV) was used in 21 patients (42.9%). Fourteen (28.6%) wereintubated and put onassisted ventilation. The mean hospital stay was 7.77 ± 7.30 days. We recorded 20 (40.8%) deaths. Factors associated with death were high blood pressure, onset of shock, and on mechanical ventilation.CONCLUSION:Covid-19 remains a public healthproblemwith high morbidity and mortality. The morbidity and mortalityfactorsare: comorbidities and the severity of the clinicalpicture.

The prevalence of type 2 diabetes and moderate fasting hyperglycemia is high in Guinea, while data on gestational diabetes are scarce.Objective: To determine the prevalence of Gestational Diabetes among women admitted for prenatal consultation, identify their socio-epidemiological characteristics and any associated risk factors.Patients and Methods: Prospective study conducted in pregnant women who came for prenatal follow-up in two urban health centers in the prefecture of Kindia, Guinea during the period from January 1 to June 30, 2018, screened according to the recommendations of International Association of Diabetes and Pregnancy Study Group (IADPSG).A single abnormal value is sufficient to make the diagnosis of GDM.All pregnant women between 24 and 28 SA were included.Women with multiple pregnancies and/or preexisting diabetes or refusal to participate in the study were excluded.The variables analyzed: maternal age, gestational age, parity and exposure or not to risk factors.The data were analyzed by specific statistical tests with a probability p<0.05.Results: Seven hundred and forty-two (742) pregnant women were screened with 103 cases of GDM diagnosed, representing a prevalence of 13.8%.The epidemiological profile of women with GDM was dominated by the average maternal age which was 28.7 ± 6.5 years, housewives 57.28% (59/103), no level of education 53.39% (55/ 103), married 67.96% (70/103) with an average parity of 2.11± 1.9.The average gestational age was 27.1 ± 5.6 SA.The risk factors were dominated by advanced maternal age, with a proportion of 70.27% and 13.41% of patients without risk factors, screening for GDM was positive (P < 0.000001). Conclusion:The GDM is frequent among the women followed at the prenatal consultation in Kindia.Systematic screening integrated with prenatal care remains the best means of prevention.

Background: World Health Organization (WHO), defines contraception as "the use of agents, devices, methods or procedures to decrease the likelihood of conception or avoid it". In Africa, only 24% of women of childbearing age have access to a modern contraceptive method. The objective of the study was to determine the frequency of use of the contraceptive implant, to describe the socio-demographic characteristics of the users, to identify the reasons for the choice of the method and to assess the degree of satisfaction of the clients.Methods: The study was conducted at the Matam Communal Medical Center on level 2 of the health pyramid in Guinea. This was a 12-month cross-sectional, descriptive and analytical study (June 2017 to May 2018), including all women admitted for desire for contraception and who agreed to choose the implant as a contraceptive method.Results: The study involved 512 clients. The proportion of female users was 26.21%. The average age was 27.8 years, the main users were women of liberal trade, married, multiparous. The main reasons for choice cited by clients were the effectiveness and long duration of action of the method, i.e. 35.2% and 30.9% respectively. The majority of providers of the method were represented by midwives (73.3%) and the degree of client satisfaction with the method was 97%.Conclusions: The implant is a long-acting method of contraction. It is frequently used at the Communal Medical Center of Matam. Its efficient use would involve effective counselling.

RESUMEIntroduction. La thrombolyse est moyen de reperfusion d’un evenement thromboembolique notamment quand elle est administree dans les premieres heures de la symptomatologie. Le but de notre travail etait d’evaluer les indications, l’efficacite et le cout de notre schema de thrombolyse par rapport au protocole standard. Methodes. Etude prospective transversale sur 06 mois, incluant tous les patients admis en reanimation pour urgence cardiovasculaire thrombotique majeure et neurovasculaire : syndrome coronarien aigu (SCA), embolie pulmonaire (EP) massive, accident vasculaire cerebral ischemique (AVCI) et thrombolyses selon notre protocole a base d’association Alteplase (un flacon de 50 mg) et heparine sodique avec relais par Rivaroxaban 20mg (Xarelto). Le TCA pour adaptation therapeutique de l’heparine. Resultats. Parmil les 71 patients eligibles, nous avons collige 61 patients donc 37 pour SCA, 14 EP grave et 10 AVCI soit 82,43%. La classe modale etait de [41-50]. Le sexe feminin a represente 62%. Une prise en charge apres 12 heures a ete observee chez 55,7% des patients. La duree moyenne de sejour etait de 5+/-3 jours. Nous avons observe 5 deces dont 4 cas d’EP massive. La coronarographie a ete realisee chez 18 patients avec une repermeabilisation parfaite chez 17, et un stente. Les principaux incidents ont ete domines par l’hematurie, l’hypotension arterielle ; nous avons observe un cas d’hematome intracerebral avec des suites simples. Le principal facteur de risque de mortalite commun aux pathologies etait le retard de prise en charge. Le cout moyen de prise en charge selon notre protocole etait de 525 000F CFA contre 1 400 000 F CFA selon le protocole standard. Conclusion. L’analyse cout-avantages est favorable a notre protocole par rapport au protocole standard. En effet, nous avons relativement peu de complications graves (hemorragiques) et un cout nettement inferieur.ABSTRACTIntroduction: Thrombolysis: a means of reperfusion of a thromboembolic event, especially when it is administered in the first hours of symptoms. We initiated this work with the aim of evaluating the effectiveness of our thrombolysis regimen compared to the standard protocol. Materials and methods: This was a prospective cross-sectional study carried out over 06 months. Including all patients admitted to intensive care for a major thrombotic and neurovascular cardiovascular emergency (ACS, massive EP, DALY) and thrombolysed according to our protocol protocol, which used the combination of Alteplase (a 50 mg vial) and heparin sodium with relay by Rivaroxaban 20mg (xarelto). TCA for therapeutic adaptation of heparin. Results: We collected 61/71 patients, therefore 37 for ACS, 14 severe PE and 10 DALYs, ie 82.43%. The modal class was [41-50]. The female sex represented 62%. Management after 12 hours was observed in 55.7% of patients. The average length of stay was 5 +/- 3 days. We observed 5 deaths including 4 cases of massive PE. Coronary angiography was performed in 18 patients with perfect repermeability in 17, and 1 stent. The main incidents were dominated by hematuria, low blood pressure; we observed a case of intracerebral hematoma with simple consequences. The main risk factor for mortality common to the pathologies was the delay in treatment. The average cost of care according to our protocol was 525,000 CFA francs against 1,400,000 CFA francs according to the standard protocol. Conclusion: A cost-benefit analysis in our protocol is justified by the direct benefits observed, which are in fact estimated from the results. Our protocol is justified by the excellent result with fewer serious complications (hemorrhagic) but at a lower cost.

Objectives: to calculate the frequency of oligoamnios, to describe the socio-demographic characteristics, to identify the causes and to establish the maternal and fetal prognosis. Methodology: This was a 16-month descriptive retrospective study conducted in the Obstetric Gynecology Department of Donka National Hospital. All women diagnosed with oligoamnios who gave birth in the ward during the study period were included in the study. All women who were admitted for complications of oligoamnios and those who had premature rupture of membranes were excluded. After applying the selection procedure, we obtained a sample of size N = 60 cases. Results: The frequency of oligoamnios was 4.6 per 1000 births. The socio-demographic profile was that of: a pregnant woman aged 40-44 (28, 33%), housewives (50%), not schooled (41.67 %.), Married (83.33%), not having not carried out prenatal follow-up (66.67%) and having given birth by cesarean section (80%). The a etiology was not found in 28.33% followed by hypertension (20%). The vast majority of our patients had performed an obstetric ultrasound 96.66% versus 3.44% who did not. Maternal morbidity was dominated by hypertension (10.4%). We recorded 20% perinatal mortality.Conclusion: Oligoamnios is a serious pathology for two reasons: its etiology which, as a rule, compromises the vital prognosis and its consequences on the development of the fetus mainly on the pulmonary level.

Objectives: To calculate the frequency of uterine fibromyomas, to describe the epidemiological profile, to describe the management and to establish the prognosis of women with uterine fibromyomas in the gynaecology-obstetrics department of the Regional Hospital of Labé. Methodology: This was a retrospective descriptive study lasting three (3) years from 1 January 2017 to 31 December 2019. All patients admitted and operated on in the department for uterine fibromyomas during the study period were included. Patients who were not operated for uterine fibromyomas in the department and incomplete records were not included. Our data were collected and analysed using Epi-Info software version 7.2.2.6. Word, Excel and Power point software from Pack office 2016 were used for data entry and presentation. The study involved a continuous series of 115 anaemic pregnant women. We proceeded with an exhaustive recruitment of pregnant women according to the criteria defined above. Results: The frequency of uterine fibromyomas among gynaecological pathologies was 44.75%. The epidemiological profile was that of a 30-39% (40.87%), housewife (53.91%) and nulliparous (40%) woman. Pelvic pain was the dominant reason for consultation (75.65%) and 46.08% of patients had no particular history. Intramural or interstitial uterine fibromyomas were the most common (49.57%) and ultrasound was performed in all patients. The surgical indications were dominated by large polymyomatous uterus 37.39%, followed by haemorrhagic fibroid 26.09%. Myomectomy was performed in 75.65% of cases, exclusively via the abdominal route (100%), while hysterectomy was performed via the abdominal route in 17.39% of cases and vaginal route in 6.96%. The postoperative course was simple in 75.65% of cases and complicated in 24.35%. Complications were dominated by anaemia (13.04). The average length of stay was 6.05 days with extremes of 3 and 13 days. Conclusion: The frequency of the uterine fibromyomas is raised in the region of Labé and the hold in charge is often surgical

Objectives: Calculate the frequency of anemia during pregnancy, describe the epidemiological profile and describe the management of anemia during pregnancy in the gynecology-obstetrics Department of the Labé regional hospital. Methodology: This was a prospective, descriptive study lasting six (6) months from September 1, 2020 to February 28, 2021 All pregnant women who developed anemia and treated were considered for the study in the service. All pregnant women without anemia were included. Our data were analyzed by Epi-Info version 7.2.2.6 software, entered and presented by Pack office 2016 software. Results: The frequency of anemia in pregnant women was 27.61% in the department. The epidemiological profile of anemia in pregnant women at the Labé regional hospital was that of: a woman aged 25-29 (30.63%), housewives (72.97%), women not attending school (66, 67 %.), those Coming from the rural areas (76.58%), married women (100%), pauciparous (29.73%) and only 14.42% did not carry out an antenatal consultation. The anemia occurred in the 3rd trimester (76.58 %,). The main reason for consultation was paleness of the conjunctivae and integuments (92.79%) and malaria the dominant antecedent (60.36%). Severe anemia was the most dominant clinical form (54.96%). Transfusion was performed in 54.95% of women with anemia. The average length of stay was 4.9 days with extremes of 1 and 10 days. The maternal prognosis was favorable in 96.40% with a maternal death rate of 3.60%. Conclusion: Anemia is a major problem for pregnant women in the Gynecology-Obstetrics department at the Labé regional hospital. The improvement of the maternal prognosis would pass by chemoprophylaxis of malaria, the use of impregnated mosquito nets with long-lasting insecticide (LLINs), the prevention of intestinal parasitoses, the regular administration of iron, folic acid and the provision of quality prenatal consultation.

Objective: To assess the quality of filling of the modified partograph from WHO at CMC Matam. Methods: This was a retrospective descriptive study by clinical audit (AC), carried out on a sample of obstetric records of parturients who gave birth in the maternity unit of the CMC of Matam from January 1 to December 31, 2020, it consisted of a evaluation of the use of the partograph using an audit sheet prepared for this purpose. The random sampling with one step in ten 1/10 was used for the sampling. The parameters related to the performance of the partograph, the progress of labor (hourly rate, fetal state, materno-fetal outcome.) Were evaluated, the traceability of events related to maternal condition, acts and treatments carried out during labor as well as immediate postpartum surveillance data. Data was collected and analyzed using SPSS 20.0 and MS Excel 2010 software. Results: We retained 470 files. The sample represented 87.45% of all parturients whose monitoring required the opening of a partograph during the study period; its behavior met the standard in more than 87, 41% of cases; The hourly rhythm, and the precise moment of each act were notified and respected in 66.60% of the cases, the progress of the work was correctly notified and respected in 28.72% of the cases; the presentation level and the fetal heart rate were reported and respected in 28.78% and 85.96% respectively; the method of entering into labor was notified and complied with in 95.7% of cases. Conclusion: The modified WHO partograph has some shortcomings in relation to its performance, which can be corrected by supportive supervision.

Objectives: Calculate the frequency of genital endometriosis, describe the epidemiological profile and describe the anatomo-histoclinical aspects of genital endometriosis at the Conakry University teaching Hospital.Methodology: this was a retrospective descriptive study lasting 10 years, from January 1, 2008 to December 31, 2018. It concerned all cases of lesions of the female genital system, the which documents were examined in the anatomo-pathological laboratory. It concerned all cases of lesions of the female genital system whose parts were examined in the anatomo-pathological laboratory. The limitations or constraints of the study were the absence of certain information on the anatomopathological examination request forms and the absence of imaging results (ultrasound, MRI). We carried out an exhaustive examination of the data available in the registers of the anatomo-pathologies service of the Conakry University Teaching Hospital.Results: The frequency of genital endometriosis was 13.09% (n = 111) among benign genital pathologies (n = 737). Female genital endometriosis cases represented 81.02% followed by digestive ones 9, 48%. The epidemiological profile was that of a woman in the 30-39 age group (33.10%), housewife (45.54%), pauci gesture (26.67%), nulliparous (36%). The reasons for consultation are dominated by dysmenorrhea (54.05%) followed by menometrorrhagia (48.65%). The main presumptive clinical diagnoses were ovarian cysts (30%) and uterine myoma (27.027%). The samples represented by the operative parts constituted the bulk of the samples examined (89.19%). The uterine endometriosis topography was the highest (53.15%) followed by ovarian one (35.14%). The cases of endometriosis with a firm consistency were the most observed at 48.65% followed by cases with a soft consistency (16.22%). The cases of genital endometriosis of homogeneous consistency and reddish appearance represented 44.14% followed by whitish cases (27.03%). Endometriosis with heterologous elements represented 37.84% followed by cases without associated changes 24.32%. Endometriosis lesions with a mono focal location were the most represented 63.06%. The histological position in the utero-cervical locations was deep in 49.21% followed by the superficial location in 26.98%. Endometriosis cases without associated lesions represented 55.86 followed by cases associating inflammatory lesions 18.02%.Conclusion: Endometriosis is a benign lesion affecting all segments of the female genital tract. It constitutes a polymorphic lesion in its non-specific symptomatology. It represents an affection of the young woman in full genital activity which can compromise her fertility. The diagnosis of deep forms is complex involving clinical, imaging (ultrasound and magnetic resonance imaging) which must always be confirmed by pathological examination.