Reconstructing Sexuality after Excision: The Medical Tools.

Area of Science:

• Medical Sociology
• Women's Health
• Surgical Innovation

Background:

• Female genital mutilation (FGM) involves clitoral excision, impacting sexual function and well-being.
• Clitoral reconstructive surgery aims to restore physical integrity but may not address broader sexual health dimensions.

Purpose of the Study:

• To explore the comprehensive process of clitoral reconstructive surgery for FGM survivors.
• To understand the multidisciplinary approach and specific tools developed by healthcare teams in France.

Main Methods:

• Ethnographic fieldwork conducted in a French public hospital.
• Analysis of medical records, including assessments from psychologists and sex therapists.

Main Results:

• Surgical reconstruction alone is insufficient for restoring sexual pleasure and addressing women's multifaceted needs post-FGM.
• Multidisciplinary teams utilize specific psychological and therapeutic tools to address sexual sensibility, self-esteem, body image, and intimate relationship issues.
• The French national health insurance fully covers clitoral reconstructive surgery, facilitating a holistic care model.

Conclusions:

• Effective clitoral reconstruction for FGM survivors requires a holistic, multidisciplinary approach integrating surgical, psychological, and therapeutic interventions.
• Healthcare teams have developed specialized tools to support survivors in overcoming psychological barriers and rebuilding sexual well-being.
• Addressing the complex needs of FGM survivors necessitates a care model that extends beyond surgical repair to encompass psychological and social dimensions.