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Female genital mutilation among middle aged Egyptian women and its impact on their sexual function

Elkowessny , D1; Salama, H2; Abu-Nazel, M2; Gobashy, S2

1: Alexandria University , Egypt ; 2: Alexandria University, Egypt

Objective: Female Genital Mutilation (FGM), also known as female circumcision refers to “all procedures involving partial or total removal of the external female genitalia for cultural, religious or other non therapeutic reasons “. This practice is considered a deeply rooted tradition in Africa and some countries of Asia and the Middle East. In Egypt, The desire to control women's sexual desire is a strong motivation for the practice of FGM. The aim of the present work is to study the prevalence of FGM among married women attending family health centres (FHCs) in Alexandria and to investigate the effect of FGM on sexual functions among married women and to assess their beliefs regarding this traditional habit.

Material and Method: Across sectional study was carried out among 369 women attending family health centres in Alexandria . Experience of sexual problems was assessed using the Arabic form of Female Sexual Function Index (Ar FSFI). FGM among all participants was reported using a predesigned questionnaire.

Result: The presence of FGM among married women in our sample was 69.9%. The highest percentage of women (71.5)% thought that FGM is not a healthy habit and about 59.6% of the sampled women reported that they think that FGM is related to female sexual dysfunction (FSD). In our study we founded that FGM was significant risk factor FSD. Those who reported the occurrence of FGM were 1.8 times more likely to develop FSD and those who considered FGM as a healthy habit were three times more likely to have FSD than those who reported that FGM is not healthy.

Conclusion: FGM has a negative impact on women's sexual health. It is prevalent among middle aged Egyptian women. It is hoped that documenting the negative effects of FGM on female sexual functions would assist the efforts to abandon this harmful tradition.

Conflict of Interest: There is no financial conflict if interest.


Work supported by industry: no.

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