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[Sexual function and clitoral reconstruction after female genital mutilation]
Jasmine Abdulcadir1,2, Francesco Bianchi-Demicheli1,2, Patrick Petignat1,2
1Département de gynécologie et obstétrique, HUG, 1211 Genève 14.
Revue Medicale Suisse
|July 19, 2017
Summary
Female genital mutilation (FGM) impacts women's sexual function. Clitoral reconstruction surgery may improve pain and sexual function, but non-surgical options are safer for asymptomatic women.
Area of Science:
- Women's Health
- Sexual Medicine
- Surgical Innovation
Background:
- Female genital mutilation (FGM) is a global health issue with limited research on its impact on female sexual function.
- Surgical interventions like clitoral reconstruction are performed for pain, dyspareunia, or identity reasons.
Purpose of the Study:
- To summarize factors influencing sexual function in women with FGM.
- To review available data on clitoral reconstruction outcomes.
- To compare surgical and non-surgical management approaches.
Main Methods:
- Literature review of anatomical, psychosexual, and sociocultural factors.
- Analysis of data on clitoral reconstruction surgery.
- Evaluation of treatment outcomes for symptomatic and asymptomatic women.
Main Results:
- Surgical resection of fibrous tissue or neuromas may alleviate pain and enhance sexual function.
- Non-surgical, multidisciplinary management can be as effective and less risky for asymptomatic women.
- Limited evidence exists, highlighting the need for further research.
Conclusions:
- Clitoral reconstruction offers potential benefits for pain and sexual function in symptomatic women with FGM.
- Non-surgical management is a preferred, safer alternative for asymptomatic individuals.
- A comprehensive understanding of FGM's impact requires integrating anatomical, psychological, and social factors.
