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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