Zambian Women in South Africa: Insights Into Health Experiences of Labia Elongation

  title={Zambian Women in South Africa: Insights Into Health Experiences of Labia Elongation},
  author={Guillermo Mart{\'i}nez P{\'e}rez and Mwenya Mubanga and Concepci{\'o}n Tom{\'a}s Aznar and Brigitte Bagnol},
  journal={The Journal of Sex Research},
  pages={857 - 867}
Labia minora elongation consists in the manual stretching of the inner lips of the external genitalia. This practice is documented in east and southern Africa. The experiences of African women in the diaspora practicing elongation are not thoroughly understood. The purpose of this qualitative study was to explore the health harms and benefits associated with this practice of Zambian women who have migrated to Cape Town, South Africa. Twenty women and seventeen men participated in this study… Expand
Becoming and Being a Woman: Meanings and Values of Labial Elongation for Zambians in Cape Town
Zambian women might doubt whether to stop or preserve labial elongation, which is a female genital modification instructed to the girl child as the first rite of passage into womanhood. We conductedExpand
Becoming and Being a Women: Meanings and Values of Labial Elongation for Zambians in
Zambian women might doubt whether to stop or preserve labial elongation, which is a female genital modification instructed to the girl child as the first rite of passage into womanhood. We conductedExpand
Grounded Theory
A study on how Zambian migrants living in Cape Town perceive and experience the implications of labial elongation on women’s health was conducted. Labia minora elongation (LME) is a genitalExpand
Determinants of Elongation of the Labia Minora in Tete Province, Central Mozambique: Findings of a Household Survey.
The findings of this study do not suggest that labial elongation is linked with high-risk behaviors for HIV transmission, and it is possible that prospective cohort studies could uncover alterations in genital vaginal flora or other indicators of impact on women's health. Expand
Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique
There was little evidence for a relationship between self-reported HIV status and anticipated use of intra-vaginal tightening substances, but current or anticipated participation in labia elongation showed a protective effect on HIV infection. Expand
Influencing the importance of health, partners, and hygiene among Zambian women
Both groups exhibited an increase in the importance placed on health and a decrease on hygiene importance for IVP engagement, suggesting that SOC+ may be sufficient to promote attitude changes that may facilitate IVP discontinuation and may prove to be more cost effective by using fewer monetary resources. Expand
Labiaplasty: motivation, techniques, and ethics
Improved understanding as to why women seek this treatment is needed and whether conservative treatments (such as counselling) are effective, and systematic assessment of the surgical and patient-reported outcomes of labiaplasty is needed to assess whether it is safe and effective. Expand
Body Image and Female Sexual Functioning: Impact on Health Service Delivery in a Developing Country Context
Female sexuality is complex and highly contextual, influenced by among others one’s body image and self-esteem. Body image experiences are integral to the quality of an individual’s life includingExpand
A Rapid Review of Sexual Wellbeing Definitions and Measures: Should We Now Include Sexual Wellbeing Freedom?
The importance of conceptualising sexual wellbeing as individually experienced but socially and structurally influenced is discussed, including assessing sexual wellbeing freedom: a person’s freedom to achieve sexual wellbeing, or their real opportunities and liberties. Expand
Exploring Intravaginal Ring Acceptability for Disease Prevention Among At-Risk Community Members in Cape Town
An Interactive Qualifying Project is submitted to the Faculty of WORCESTER POLYTECHNIC INSTITUTE in partial fulfillment of the requirements for the Degree of Bachelor of Science. Expand


Labia Minora Elongation and its Implications on the Health of Women: A Systematic Review
This review concludes that pain at the beginning of the practice, nuisances related to the use of caustic herbs, and stigmatization in failing to comply with the practice are the principal health risks associated with LME, and there is evidence that labial elongation may benefit the sexual health and well-being of women. Expand
Elongation of labia minora in Uganda: including Baganda men in a risk reduction education programme
The authors discuss the possibility of addressing Baganda men by health workers in an education programme aimed at minimising the risks attached to the procedure and, hence, improving the sexual and reproductive health of Baganda girls. Expand
Stretching of the Labia Minora and Other Expansive Interventions of Female Genitals in the Democratic Republic of the Congo (DRC)
Ritual stretching, classified among the female genital mutilations by the WHO in 1996, has been studied for the first time in the Democratic Republic of Congo (DRC) by the Padua Working Group on FGMExpand
In search of sexual pleasure and fidelity: vaginal practices in KwaZulu‐Natal, South Africa
It is argued that any interventions to change women's reliance on vaginal practices must recognise and attend to the broader social contexts in which they are embedded and that this cannot be captured by simple terms like ‘dry sex’. Expand
Autoerotism, Homoerotism, and Foreplay in African Women Who Practice Labia Minora Elongation: a Review
ABSTRACT. Objectives: Labia minora elongation is a female genital modification in which some women in certain linguistic groups from Africa engage. One of the purposes is to enhance sexual pleasureExpand
The First Survey on Genital Stretching in Italy
In 2006 and 2007, the first survey of genital stretching (GS) in Italy was implemented in order to evaluate the degree of knowledge of professionals involved in immigration issues who may be facedExpand
Labia Elongation under African Customary Law: A Violation of Women's Rights?
ABSTRACT This paper examines whether or not the practice of labia elongation violates the rights of women in African cultures that subscribe to such practices. The validity test of African customaryExpand
Female Genital Modifications in Malawi Culture, Health, and Sexuality
The most important data deal with labial stretching, practiced systemati- cally on the Malawi teenagers during the segregation (chiputu), lasting a few weeks in a hut under the guide of a female instructor (namkungwi) and the (phungu) responsibility of the grandmother. Expand
Female Genital Modifications in Malawi
A strong ethnic heterogeneity has made difficult the synthesis of the results of the fieldwork in Malawi (Mangochi district), organized by the Working Group on the FGM of the University of Padua inExpand
Findings may be explained by a reversal of the causal sequence assumed for this association, since intravaginal practices may be undertaken in response to vaginal infections that occur more commonly among HIV-infected women. Expand