[Ectopic pregnancy in Madagascar: 107 cases].

Introduction: Ectopic pregnancy is a serious gynecological disease requiring early diagnosis and treatment. The aim of this study is to analyze the epidemiologic, diagnostic and therapeutic aspects of this disease in a reference hospital in Madagascar.

Patients And Methods: This prospective and descriptive study included all women diagnosed with and treated for ectopic pregnancy at the University Hospital of Gynecology and Obstetrics of Befelatanana during the 6-month period from January 1 to June 30, 2011.

[Management of ectopic pregnancy using methotrexate in Madagascar].

The purpose of this retrospective study was to evaluate the use of methotrexate for management of ectopic pregnancy in a series of 64 patients treated at the General Hospital Center in Soavinandriana, Madagascar from March 2005 to March 2008. The success rate was 80%.

[Female genital tuberculosis: about 11 cases treated in Antananarivo (Madagascar)].

A 5 year prospective study on genital tuberculosis, a rather uncommon localization, has been undertaken in 11 women treated at the DAT-HIS of Antananarivo, Madagascar Clinical diagnosis is problematic, if not unfeasible, due to the polymorphism of genital tuberculosis in women. Only histological and bacteriological examinations are, so far, confirmatory In the future, recourse to polymerase chain reaction will facilitate diagnosis and will allow a more accurate assessment of the incidence of this aspect of tuberculosis infection. Genital tuberculosis compromises women's fertility Even though the tuberculosis is cured, none of the 11 women of our research had carried their pregnancy to delivery, because artificial fertilization is not feasible here in Madagascar Screening of woman genital tuberculosis should be mandatory as regards gynaecological problems such as menstrual cycle disorders, sterility, abdominal pain, cyst of ovary ectopic pregnancy, spontaneous miscarriage in paraclinical investigations, especially in developing countries.