The association between Female Genital Mutilation and sexual dysfunction during pregnancy - pilot study

Background: Female genital mutilation (FGM) is a procedure that had physical, social, psychological, and sexual complications. The study aimed to assess effect of FGM on couple sexual function.Methods: case control nested from cross-sectional study in Fayoum governorate; it was conducted during a period of five months (March 2016 to July 2016).Results: The prevalence of FGM was 432(83.4%). The risk of exposure to mutilation was about four folds higher among women inhabitant rural areas, and about nine folds higher among low educated women, and around six folds higher if parents were low educated. Around one-third of women in the study 157 (30.3%) suffered psychological problems and 142 (27.4%) of them suffered marital and social problems related to FGM practice. Mutilated women had five folds decrease in desire: four folds decrease in sexual satisfaction and five folds increase in sexual dysfunction on contrary 57% to 59% decrease in arousal and orgasm. As regards to husband sexual satisfaction, it decreases by around three folds if their wives were mutilated. There is statistically a significant increase in couple sexual dysfunction among complicated mutilation.Conclusions: FGM is still practiced in Egypt and it resulted in many physical, psychological, and social complications; also it had a negative impact on the couple's sexual life.

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Female Genital Mutilation/Cutting Resulting in Genital Tract Obstruction and Sexual Dysfunction: A Case Report and Literature Review

Case Reports in Obstetrics and Gynecology ◽

10.1155/2021/9986542 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Anwar Sadat Seidu ◽

Haruna Danamiji Osman ◽

Kingsley Appiah Bimpong ◽

Kwame Afriyie

Keyword(s):

Sexual Dysfunction ◽

Cultural Values ◽

Genital Tract ◽

Female Genital Mutilation ◽

External Genitalia ◽

Female Genital Cutting ◽

Genital Mutilation ◽

Genital Cutting ◽

Type 3 ◽

Female Genital

Female Genital Mutilation/Cutting (FGM/C) is the practice of cutting parts of the female external genitalia in fulfillment of sociocultural obligations and in some cases for nonmedical reasons. It is classified into 4 main types depending on the extent of cutting. Some forms of FGM/C are common in at least 29 countries globally, mainly in Africa. The overall prevalence of FGM/C in Ghana is approximately 4%. The motivation for this practice varies from community to community but includes the fulfillment of cultural values, uplifting the girl child, and, according to some reports, reducing sexual desire and promiscuity. The objective of this article is to illustrate how FGM/C resulted in sexual dysfunction in a young woman married for 2 years. We present a 19-year-old female who was subjected to female genital cutting in her formative years who presented with apareunia for 2 years in her marriage. We illustrated how FGM/C led to a genital tract obstruction with resultant sexual dysfunction. Examination revealed a Type 3 FGM/C (infibulation) with almost complete occlusion of the genital tract. She underwent a successful defibulation and resumed sexual activity with her husband within 6 weeks of the procedure.

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