Dura Mustafa Cengiz, Abaker Salih Salih Mahmoud, Aktürk Hilal, Aslan Özgür
Obstetrics and Gynaecology, Bakırköy Sadi Konuk Education and Research Hospital, Istanbul, TUR.
Obstetrics and Gynecology, Nyala Sudan Turkish Training and Research Hospital, Istanbul, TUR.
Cureus. 2023 Dec 30;15(12):e51343. doi: 10.7759/cureus.51343. eCollection 2023 Dec.
There are few studies comparing sexual function in women with female genital mutilation (FGM) in the literature, and most of these were evaluated with the Female Sexual Function Index (FSFI) questionnaire. Only one used the Female Genital Self-Image Scale (FGSIS) questionnaire.
This study aims to evaluate the effects of FGM on sexual function in Sudanese women who did or did not undergo FGM, using the FSFI and FGSIS questionnaires.
This descriptive study was conducted on Sudanese women from July 2020 to March 2021. Patients who attended to our hospital's gynecology outpatient clinic for health screening were included in this study. A total of 211 patients 113 with FGM and 98 without FGM were included in the study. The group with FGM was categorized according to the classification of the World Health Organization. The validated Arabic FSFI and FGSIS questionnaires were administered to groups with and without female genital mutilation and cutting (FGM/C).
When the FGM types of the cases participating in the study were examined, patients with FGM were classified according to the FGM/C classification defined by the World Health Organization. They were classified as 20.4% (n=23) Type 1, 49.6% (n=56) Type 2, and 30.1% (n=34) Type 3. FSFI and FGSIS scores were significantly lower in the FGM/C group, especially in Type 3 with the highest tissue loss. The survey results statistically support the possibility of sexual dysfunction in FGM group.
Female genital circumcision negatively affects sexual function. Therefore, clinicians should consider and sexual dysfunction in women with FGM attending primary care. Strengths and limitations: The strengths of this study are its originality, as it is the first study in the literature to use validated FGSIS and FSFI questionnaires together to assess sexual function in groups with and without FGM and to evaluate correlation of questionnaire results. We undertook the study it using validated and reliable scales, trained clinical staff, local staff gynecologist, and multivariate analysis. Limitation of the study is the chosen age range. The reason for limiting the age to under 35 is that we wanted to evaluate the more sexually active age group in our study. We cannot comment on the correlation of FSFI and FGSIS in circumcised patients over 35 years of age.
Sexual function and sexual self-image of women with FGM/C were found to be significantly lower compared to women without FGM when compared with the validated FSFI and FGSIS questionnaires.
文献中很少有关于女性生殖器切割（FGM）女性性功能的比较研究，其中大多数是通过女性性功能指数（FSFI）问卷进行评估的。只有一项研究使用了女性生殖器自我形象量表（FGSIS）问卷。
本研究旨在使用FSFI和FGSIS问卷评估FGM对接受或未接受FGM的苏丹女性性功能的影响。
本描述性研究于2020年7月至2021年3月对苏丹女性进行。到我院妇科门诊进行健康筛查的患者纳入本研究。共有包括113例接受FGM和98例未接受FGM的211名患者纳入研究。接受FGM的组根据世界卫生组织的分类进行划分。对有和没有女性生殖器切割（FGM/C）的组发放经过验证的阿拉伯语FSFI和FGSIS问卷。
在检查参与研究的病例的FGM类型时，接受FGM的患者根据世界卫生组织定义的FGM/C分类进行划分。他们被分类为1型20.4%（n = 23）、2型49.6%（n = 56）和3型30.1%（n = 34）。FGM/C组的FSFI和FGSIS评分显著较低，尤其是在组织损失最大的3型中。调查结果在统计学上支持FGM组存在性功能障碍的可能性。
女性生殖器环切术对性功能有负面影响。因此，临床医生在初级保健中应考虑FGM女性的性功能障碍。优点和局限性：本研究的优点在于其原创性，因为它是文献中第一项同时使用经过验证的FGSIS和FSFI问卷来评估有和没有FGM组的性功能并评估问卷结果相关性的研究。我们使用经过验证且可靠的量表、训练有素的临床工作人员、当地妇科医生以及多变量分析进行了这项研究。本研究的局限性在于所选的年龄范围。将年龄限制在35岁以下的原因是我们想在研究中评估性活动更活跃的年龄组。我们无法评论35岁以上接受环切术患者中FSFI和FGSIS的相关性。
与经过验证的FSFI和FGSIS问卷相比，发现FGM/C女性的性功能和性自我形象明显低于未接受FGM的女性。
