Tidsskr Nor Laegeforen. 2021 Oct 25;141(2021-15). doi: 10.4045/tidsskr.21.0509. Print 2021 Oct 26.
Seven Norwegian hospitals offer an outpatient service for women who have undergone female genital cutting (FGC). This study presents symptoms, findings and treatment in women who were examined at the outpatient clinics in the period 2004-2015.
Each hospital identified patients by searching for relevant diagnostic and procedure codes. All those who had been examined at the outpatient clinics were included. Data were retrieved from patient records.
A total of 913 women were included. The median age at the time of undergoing FGC was seven years, and at the time of consultation, 26 years. Almost half of the women were pregnant. The majority (81 %) had FGC type III (infibulation). Of these, 87 % had gynaecological problems. Of women with types I and II FGC, 55 % and 70 %, respectively, reported gynaecological problems. Altogether 64 % received surgical treatment, primarily deinfibulation (98 %). Few complications were recorded.
In many young, non-pregnant infibulated women, FGC-related problems that can be treated with deinfibulation may have been present since childhood and adolescence. There is probably an unmet need for treatment, irrespective of the type of FGM.
挪威有七家医院为接受过女性生殖器切割（FGC）的女性提供门诊服务。本研究介绍了 2004 年至 2015 年期间在这些门诊接受检查的女性的症状、检查结果和治疗方法。
每家医院都通过搜索相关的诊断和手术代码来识别患者。所有在门诊接受过检查的患者都被纳入研究。数据从患者病历中提取。
共纳入 913 名女性。接受 FGC 的中位年龄为 7 岁，就诊时的中位年龄为 26 岁。近一半的女性怀孕。大多数（81%）为 FGC 类型 III（闭锁）。其中，87%有妇科问题。I 型和 II 型 FGC 的女性中，分别有 55%和 70%报告有妇科问题。共有 64%的女性接受了手术治疗，主要是松解术（98%）。记录到的并发症很少。
许多年轻、未怀孕的闭锁女性可能自儿童和青少年时期就存在与 FGC 相关的问题，这些问题可以通过松解术治疗。无论 FGM 类型如何，可能都存在未满足的治疗需求。
