PROMOTING ACCESS TO AFRICAN RESEARCH

Alexandria Journal of Medicine

Log in or Register to get access to full text downloads.

Remember me or Register



Effect of female genital mutilation on female sexual function, Alexandria, Egypt

Manal Ibrahim Hanafi Mahmoud

Abstract


Background: The global prevalence of female genital mutilation (FGM) ranges from 0.6% up to 98%. It has many health psychological impacts including abnormalities of female sexual function.

Objectives: To study female genital mutilation and its effect on female sexual function, Alexandria, Egypt 2013.

Methods: A case–control study was conducted on a convenient sample of 272 circumcised women with their 272 control from 4 randomly selected primary health care centers. Specially designed format (including data about socio-demographic characters, gynecological obstetric histories, and FGM act) and female sexual function index (a 19-item self-reported questionnaire for assessing the key dimensions of female sexual function) were used. Bivariate analysis was conducted to test significant differences between cases and control.

Results: 73.9% of cases experienced dysmenorrhea (OR= 3.750), 43.4% had obstructed labor (OR= 1.745) and 27.6% got postpartum hemorrhage (OR= 2.855). 48.9% of FGM was performed by dayas or midwives, 91.2% performed at home, 49.6% of type I, and 87.9% experienced complications. Cases had lower mean sexual function. 52.6% of cases were convinced with FGM.

Conclusion: FGM was a risk factor for dysmenorrhea, obstructed labor and postpartum hemorrhage. Cases had lower mean sexual function; moreover, half of them convinced with FGM practice and with its continuation.

Keywords: Female genital mutilation; Female sexual function; Circumcision




http://dx.doi.org/10.1016/j.ajme.2015.03.003
AJOL African Journals Online