“…Aside from pregnancy disorders, bleeding from the vulva must be differentiated from hematuria and can be caused by a variety of disorders of the urogenital tract including diseases of the kidney, ureter, bladder, uterus, cervix, and vagina (White et al 1984, Frazer 2005, Zantingh et al 2012, Vienenkötter et al 2017, Smith et al 2018 or by trauma (Prell et al 2016). Leiomyomas are very common uterine neoplasms, which occur in women during their reproductive age at a prevalence of more than 70 % (Yang et al 2016, Lewis et al 2018.…”