女性割礼对埃及女性性功能的影响。一项横断面研究。

Effects of female genital cutting on the sexual function of Egyptian women. A cross-sectional study.

机构信息

Department of Andrology, Kasr Al-Eini School of Medicine, Cairo University, Department of Dermatology, Sahel Teaching Hospital, Cairo, Egypt.

出版信息

J Sex Med. 2012 Oct;9(10):2682-92. doi: 10.1111/j.1743-6109.2012.02866.x. Epub 2012 Aug 15.

DOI:10.1111/j.1743-6109.2012.02866.x

PMID:22897582

Abstract

INTRODUCTION

The existing literature is conflicting regarding effects of female genital cutting (FGC) on sexual functions. Several studies from Africa over the past 20 years have challenged the negative effect of genital cutting on sexual function as defined by performance on the following domains: desire, arousal, lubrication, orgasm, satisfaction, and sexual pain. Other studies however indicated that sexual function of genitally cut women is adversely altered.

AIM

The aim of the study was to investigate the effects of FGC on the female sexual function of Egyptian women.

METHODS

This is a cross-sectional study conducted between February and May 2011 at the outpatient clinic of Cairo University Hospitals. The study included 650 Egyptian females between 16 and 55 years of age (333 genitally cut women and 317 uncut women). Participants were requested to complete the Arabic Female Sexual Function Index (ArFSFI) and were then subjected to clinical examination where the cutting status was confirmed.

MAIN OUTCOME MEASURES

The total score of the ArFSFI and its individual domains.

RESULTS

The mean age of cutting was 8.59 (±1.07) years. Of the cut participants, 84.98% showed signs of type I genital cutting, while 15.02% showed signs of type II genital cutting. After adjusting for age, residential area, and education level, uncut participants had significantly higher ArFSFI total score (23.99±2.21) compared with cut participants (26.81±2.26). The desire, arousal, lubrication, orgasm, and satisfaction domains were significantly higher in the uncut participants (4.02±0.78, 4.86±0.72, 4.86±0.75, 4.86±0.68, 5.04±0.71, respectively) compared with those of the cut participants (3.37±0.89, 4.13±0.71, 4.16±0.84, 4.50±0.79, 4.69±0.92, respectively). No significant difference between the two groups was found regarding the sexual pain domain.

CONCLUSION

In Egyptian women, FGC is associated with reduced scores of ArFSFI on all domain scores except the sexual pain domain.

摘要

介绍

现有的文献对于女性生殖器切割（FGC）对性功能的影响存在争议。过去 20 年来自非洲的几项研究对生殖器切割对性功能的负面影响提出了挑战，这些研究是根据以下领域的表现来定义的：欲望、唤起、润滑、高潮、满意度和性疼痛。然而，其他研究表明，女性生殖器切割会对女性的性功能产生不利影响。

目的

本研究旨在调查 FGC 对埃及女性性功能的影响。

方法

这是一项横断面研究，于 2011 年 2 月至 5 月在开罗大学附属医院的门诊部进行。研究纳入了 650 名年龄在 16 至 55 岁之间的埃及女性（333 名生殖器切割女性和 317 名未切割女性）。参与者被要求填写阿拉伯女性性功能指数（ArFSFI），然后进行临床检查以确认切割状态。

主要观察指标

ArFSFI 的总分及其各领域得分。

结果

切割的平均年龄为 8.59（±1.07）岁。在接受切割的参与者中，84.98%表现出 I 型生殖器切割的迹象，而 15.02%表现出 II 型生殖器切割的迹象。在调整年龄、居住地区和教育水平后，未切割的参与者的 ArFSFI 总分（23.99±2.21）明显高于切割的参与者（26.81±2.26）。在未切割的参与者中，欲望、唤起、润滑、高潮和满意度等领域的得分明显更高（分别为 4.02±0.78、4.86±0.72、4.86±0.75、4.86±0.68、5.04±0.71），而切割的参与者的得分分别为 3.37±0.89、4.13±0.71、4.16±0.84、4.50±0.79、4.69±0.92）。两组在性疼痛领域的得分无显著差异。