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Female genital mutilation/cutting: will it continue?
Ghada F Mohammed1, Magdy M Hassan, Moustafa M Eyada
1Faculty of Medicine, Department of Dermatology, Venereology and Sexology, Suez Canal University, Ismailia, Egypt.
Introduction:
Female genital mutilation/cutting (FGM/C) is a prevalent, deeply rooted traditional practice in Egypt.
Aims:
Specification of the motives behind the continuation of FGM/C in Egyptian community and evaluation of the sexual function in women with FGM/C.
Methods:
This cross-sectional study, involved 2,106 sexually active female participants with FGM/C. Full history-taking and general examination to evaluate the type of FGM/C were conducted. Sexual function was assessed by using the Female Sexual Function Index (FSFI) questionnaire.
Main Outcome Measures:
Enumerate and specify the motivational factors and its percent among the participants. The correlation between FGM/C and FSFI domain scores was done with Pearson's correlation.
Results:
Tradition, cleanliness, and virginity were the most common motives empowering the continuation of FGM/C (100%), followed by men's wish, esthetic factors, marriage, and religion factors (45.2-100%). Type I FGM/C was the most common, followed by type II. There was only negative correlation between the type II FGM/C and sexual satisfaction. No statistically significant difference between type I and non-FGM/C was found.
Conclusions:
FGM/C remains high. A variety of socio-cultural myths, religious misbelievers, and hygienic and esthetic concerns were behind the FGM/C. Overall, a large proportion of the participants supported the continuation of FGM/C in spite of adverse effect and sexual dysfunction associated with FGM/C.