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Psychosexual impact of female genital mutilation/cutting among Egyptian women

BackgroundEpidemiological studies in many developing countries have highlighted the impact of female genital mutilation/cutting (FGM/C) on sexual function, quality of life, and psychopathological status of married Egyptian women. Aim of the workTo clarify the impact of FGM/C on the psychosexual function of circumcised versus uncircumcised Egyptian women. Materials and methodsIn a cross-sectional study, a total of 220 married women (married for up to 5 years), either circumcised or not, were interviewed to complete the validated 19-item questionnaire of Female Sexual Function Index (FSFI), symptoms check list 90 developed by Leonard and colleagues, which was translated by El-Behery to evaluate the psychological state, and were also subjected to a gynecological examination. Women older than 50 years of age, married for more than 5 years, with minor scarring on the prepuce, not sexually active, with chronic medical diseases or neurological diseases, or those who refused to participate were excluded from the study. The main outcome measure was psychosexual functions-adapted data and FSFI score. ResultsA total of 74.5% of women were circumcised; type I FGM/C was the main type observed (86%),whereas type II was found in only 14%. Circumcised women were younger at the time of marriage, had lower education, and mostly lived in a rural area. Scores of sexual desire, lubrication, orgasm, satisfaction, and pain were higher in the uncircumcised group than those in the circumcised group. The total FSFI score showed a significant difference between the circumcised groups compared with the uncircumcised group. The type II circumcised group had significantly lower scores of desire, lubrication, orgasm, pain, and satisfaction as well as the total score compared with the type I circumcised group. Psychological assessment showed that the type II circumcised group had higher scores of depression, somatization, anxiety, and phobia than the uncircumcised group, whereas there was no statistically significant difference between the type I and the type II circumcised group. ConclusionFGM/C may be a contributing factor to sexual dysfunction in women, especially type II circumcision. Psychological health problems are more frequent among type II circumcised women.