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Obstetrics & Gynecology 1973;41:239-242
© 1973 by The American College of Obstetricians and Gynecologists
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Female Genital Self-Mutilation

LOUIS H. REICH, MD and THOMAS WEHR, MD

From the Department of Psychiatry, Yale University School of Medicine, 333 Cedar St. New Haven, Conn 06510

Abstract

Self-mutilation of the genitalia in nonpregnantwomen, usually presenting as vaginal bleeding of unknown origin, has rarely been described in the literature. In this communication the behavior of the self-mutilating patient is described and compared to a much larger group of female patients who undertake dangerous and often inelFective methods of ending pregnancy. The need to include the self-mutilation syndrome in the differential diagnosis of vaginal bleeding of unknown origin is emphasized.






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