Reproductive Health and Wellness
Effect of Female Genital Mutilation on Female Sexual Function, Alexandria, Egypt
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.
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