• DOI:10.1186/s12978-017-0371-9
• Corpus ID: 22985993

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

@article{Ismail2017EffectOF,
  title={Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study},
  author={Sahar A. Ismail and Ahmad Mohammad Abbas and Dina M. Habib and Hanan Morsy and Medhat A Saleh and Mustafa Bahloul},
  journal={Reproductive Health},
  year={2017},
  volume={14}
}

• S. Ismail, A. Abbas, +3 authors Mustafa Bahloul
• Published 30 August 2017
• Medicine, Psychology
• Reproductive Health

BackgroundThe 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.MethodsWe 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.ResultsFemale 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.ConclusionIn 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.