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Master Thesis

Prise en charge diagnostique des hémorragies génitales de la femme en âge de procréer en médecine générale

Abstract : Context: abnormal uterin bleeding is a common symptom in women of reproductive age. The demographic deficit of gynaecologists leads general practitioners to be on the front line in the management of this symptom. Objective: the objectives of this study were to assess the diagnostic approach implemented by general practitioners and how they felt about this management. The secondary objective was to assess whether their practices followed the established recommendations. Study design: we conducted a qualitative study by semi-structured interviews with 16 general practitioners in cotentin between august and december 2020. The interviews were recorded and then transcribed verbatim and analysed using the Colaizzi’s method. Results: general practitioners seem to have little experience in the management of this symptom. The questioning was exhaustive although the objective assessment of bleeding wasn’t often carried out. There was variability in the systematic performance of the pelvic examination. The frequent etiologies were well known but general or rarer pathologies seemed less controlled and therefore lacking research. General practitioners felt comfortable with this diagnostic management. Difficulty in accessing transvaginal ultrasonography and specialised consultation appeared to be a limiting factor in management. Conclusion: the practice of general practitioners was generally in accordance with the recommendations. They felt limited by access to the specialist. It appeared necessary to strengthen the links between the various health actors within the territory.
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Submitted on : Monday, September 6, 2021 - 12:55:25 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM
Long-term archiving on: : Tuesday, December 7, 2021 - 6:39:06 PM


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  • HAL Id : dumas-03335571, version 1


Éva Blondel. Prise en charge diagnostique des hémorragies génitales de la femme en âge de procréer en médecine générale. Médecine humaine et pathologie. 2021. ⟨dumas-03335571⟩



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