Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Reprod Health. 2017 Aug 30;14(1):108. doi: 10.1186/s12978-017-0371-9.
The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women.
We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function). Genital Examination was done to confirm the type of FGM.
Female sexual dysfunction (FSD) was found in 83.8% of FGM/C cases in contrast to 64.5% of the control. The total FSFI score in the FGM/C group (19.82 ± 7.1) was significantly lower than in the control group (23.34 ± 8.1). Concerning the types of FGM/C, type 73.6% of cases had type I and 26.4% had type II. Type I FGM/C was performed mainly by physicians (62.1%) while type II was performed mainly by midwives (44.4%). FSD was found in 83.4% of FGM/C I cases and in 84.6% of FGM/C II cases. There was no statistically significant difference between the two types of FGM/C as regards total and individual domain scores except for the pain domain. There were significantly lower total and individual domain scores in both FGM/C types except for the desire domain compared to control.
In this study, FGM/C was associated with reduced scores of FSFI on all domains scores, and among both types I and II, both were associated with sexual dysfunction.
现有文献对于女性外阴残割/切割(FGM/C)对性功能的影响存在争议。本研究旨在探讨 I 型和 II 型 FGM/C 对埃及女性性功能的影响。
我们招募了 197 名接受过 FGM/C 的女性和 197 名对照组女性,她们都是因不同原因到艾西尤特大学医院就诊的患者。我们要求每位女性填写阿拉伯女性性功能指数(FSFI)(一种自我报告的 19 项问卷,评估女性性功能的主要领域)。对生殖器进行检查以确认 FGM 的类型。
在 FGM/C 组中,83.8%的女性存在性功能障碍(FSD),而对照组为 64.5%。FGM/C 组的总 FSFI 评分(19.82±7.1)明显低于对照组(23.34±8.1)。就 FGM/C 的类型而言,87.6%的病例为 I 型,22.4%为 II 型。I 型 FGM/C 主要由医生进行(62.1%),而 II 型主要由助产士进行(44.4%)。FGM/C I 组中有 83.4%的女性存在 FSD,FGM/C II 组中有 84.6%的女性存在 FSD。两种类型的 FGM/C 在总分和各领域得分方面没有统计学差异,除了疼痛领域。与对照组相比,两种类型的 FGM/C 总分和各领域得分均显著降低,除了欲望领域。
在这项研究中,FGM/C 与 FSFI 所有领域的评分降低有关,而 I 型和 II 型 FGM/C 都与性功能障碍有关。