Ozer Ozgur, Keles Esra, Eker Hasan Huseyin, Abdi Nor Ifrah, Baydili Kurşad Nuri
Department of Obstetrics and Gynecology, University of Health Sciences Turkey, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.
Department of Gynecologic Oncology, University of Health Sciences Turkey, Zeynep Kamil Training and Research Hospital, Istanbul, Turkey.
J Obstet Gynaecol. 2022 Oct;42(7):3224-3229. doi: 10.1080/01443615.2022.2109954. Epub 2022 Aug 18.
We aimed to evaluate the impact of the COVID-19 pandemic on female sexual function in women with female genital mutilation (FGM) in Somalia. This cross-sectional study was conducted on women with FGM attending the gynaecologic outpatient clinic of our hospital, between March and June 2021, using a validated Female Sexual Function Index (FSFI) questionnaire with a physical examination based on FGM typing. Those women who refused to participate, those with mental illness, uncontrolled systemic disease, drug, alcohol, or khat addiction, pregnant, genital prolapse, gynaecological or urological cancer, previous pelvic surgery, premature ovarian failure, genital skin diseases, drug use that affects sexual function and those with or suspected of having COVID-19 infection were excluded. A total of 201 sexually active women enrolled, with a mean age of 29 (14-55) years. Comparison of FSFI scores and the COVID-19 pandemic, a statistically significant worsening in the mean FSFI scores and all its domains (<.001, for each). All of the domains of the FSFI were determined higher before and during the pandemic except pain. There is a decline in female sexual functioning during the COVID-19 outbreak in women with FGM. FGM is a major public health concern necessitating urgent response in Somalia.Impact statement As it stands, there is a body of research on sexual behaviour during COVID-19 pandemic, but a lack of conclusive evidence. However, our knowledge of the sexual function of women with FGM during the COVID-19 pandemic is largely based on very limited data. There is a decline in female sexual functioning during COVID-19 pandemic in women with female genital mutilation in Somalia. FGM is a major public health problem necessitating urgent response worldwide. There is an urgent need to implement FGM prevention programmes and raise public awareness in order to eradicate this harmful practice.
我们旨在评估新冠疫情对索马里女性生殖器切割（FGM）女性性功能的影响。这项横断面研究于2021年3月至6月期间，在我院妇科门诊就诊的FGM女性中开展，使用经过验证的女性性功能指数（FSFI）问卷，并根据FGM类型进行体格检查。拒绝参与的女性、患有精神疾病、系统性疾病未得到控制、有药物、酒精或恰特草成瘾、怀孕、生殖器脱垂、妇科或泌尿系统癌症、既往有盆腔手术史、卵巢早衰、生殖器皮肤病、使用影响性功能的药物以及患有或疑似感染新冠病毒的女性被排除在外。共有201名性活跃女性入组，平均年龄为29岁（14 - 55岁）。比较FSFI评分与新冠疫情情况，平均FSFI评分及其所有领域均出现统计学上的显著恶化（每项均P <.001）。除疼痛外，FSFI的所有领域在疫情前和疫情期间均被判定为更高。在新冠疫情爆发期间，FGM女性的性功能有所下降。FGM是索马里一个亟需紧急应对的重大公共卫生问题。影响声明目前，有关于新冠疫情期间性行为的一系列研究，但缺乏确凿证据。然而，我们对FGM女性在新冠疫情期间性功能的了解很大程度上基于非常有限的数据。在索马里，新冠疫情期间FGM女性的性功能有所下降。FGM是一个重大公共卫生问题，需要全球紧急应对。迫切需要实施FGM预防计划并提高公众意识，以根除这种有害做法。
