Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study

Abstract Background The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women. Methods We recruited 197 cut women and 197 con...

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Main Authors: Sahar A. Ismail, Ahmad M. Abbas, Dina Habib, Hanan Morsy, Medhat A. Saleh, Mustafa Bahloul
Format: Article
Language:English
Published: BMC 2017-08-01
Series:Reproductive Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12978-017-0371-9
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author Sahar A. Ismail
Ahmad M. Abbas
Dina Habib
Hanan Morsy
Medhat A. Saleh
Mustafa Bahloul
author_facet Sahar A. Ismail
Ahmad M. Abbas
Dina Habib
Hanan Morsy
Medhat A. Saleh
Mustafa Bahloul
author_sort Sahar A. Ismail
collection DOAJ
description Abstract Background The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women. Methods We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function). Genital Examination was done to confirm the type of FGM. Results Female sexual dysfunction (FSD) was found in 83.8% of FGM/C cases in contrast to 64.5% of the control. The total FSFI score in the FGM/C group (19.82 ± 7.1) was significantly lower than in the control group (23.34 ± 8.1). Concerning the types of FGM/C, type 73.6% of cases had type I and 26.4% had type II. Type I FGM/C was performed mainly by physicians (62.1%) while type II was performed mainly by midwives (44.4%). FSD was found in 83.4% of FGM/C I cases and in 84.6% of FGM/C II cases. There was no statistically significant difference between the two types of FGM/C as regards total and individual domain scores except for the pain domain. There were significantly lower total and individual domain scores in both FGM/C types except for the desire domain compared to control. Conclusion In this study, FGM/C was associated with reduced scores of FSFI on all domains scores, and among both types I and II, both were associated with sexual dysfunction.
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spelling doaj.art-9fa4f280860449c4a52daa12a70755ee2022-12-22T02:39:13ZengBMCReproductive Health1742-47552017-08-011411610.1186/s12978-017-0371-9Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled studySahar A. Ismail0Ahmad M. Abbas1Dina Habib2Hanan Morsy3Medhat A. Saleh4Mustafa Bahloul5Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut UniversityDepartment of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut UniversityDepartment of Public Health and Community Medicine, Faculty of Medicine, Assiut UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut UniversityAbstract Background The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women. Methods We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function). Genital Examination was done to confirm the type of FGM. Results Female sexual dysfunction (FSD) was found in 83.8% of FGM/C cases in contrast to 64.5% of the control. The total FSFI score in the FGM/C group (19.82 ± 7.1) was significantly lower than in the control group (23.34 ± 8.1). Concerning the types of FGM/C, type 73.6% of cases had type I and 26.4% had type II. Type I FGM/C was performed mainly by physicians (62.1%) while type II was performed mainly by midwives (44.4%). FSD was found in 83.4% of FGM/C I cases and in 84.6% of FGM/C II cases. There was no statistically significant difference between the two types of FGM/C as regards total and individual domain scores except for the pain domain. There were significantly lower total and individual domain scores in both FGM/C types except for the desire domain compared to control. Conclusion In this study, FGM/C was associated with reduced scores of FSFI on all domains scores, and among both types I and II, both were associated with sexual dysfunction.http://link.springer.com/article/10.1186/s12978-017-0371-9Female genital mutilation/cutting (FGM/C)Sexual functionFSFI
spellingShingle Sahar A. Ismail
Ahmad M. Abbas
Dina Habib
Hanan Morsy
Medhat A. Saleh
Mustafa Bahloul
Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study
Reproductive Health
Female genital mutilation/cutting (FGM/C)
Sexual function
FSFI
title Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study
title_full Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study
title_fullStr Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study
title_full_unstemmed Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study
title_short Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study
title_sort effect of female genital mutilation cutting types i and ii on sexual function case controlled study
topic Female genital mutilation/cutting (FGM/C)
Sexual function
FSFI
url http://link.springer.com/article/10.1186/s12978-017-0371-9
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