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understanding fgm / cutting


Understanding FGM / Cutting - The Women's

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World Health Organisation definition


Female Genital Mutilation : "all procedures involving partial or total removal of the female external genitalia or other injury to the female genital organs whether for cultural or other non-therapeutic reasons".

Prevalence of the practice


  • Estimated 130 million women and girls affected worldwide.
  • Reported in many countries including 29 African countries, Malaysia, Yemen, and Indonesia.

Reasons for the practice


  • Tradition, cultural identity, hygiene, protection of virginity, marriageability, husband's sexual pleasure, aesthetics/purity, sense of belonging to a group.
  • Not required by any religion although some people believe it to be of religious importance.

Types of Female Genital Mutilation


  • Type I: Excision of the prepuce, with or without excision of part or all of the clitoris
  • Type II: Excision of the clitoris with partial or total excision of the labia minora
  • Type III: Excision of part or all of the external genitalia and stitching/narrowing of the vaginal opening (Infibulation)
  • Type IV: Unclassified: includes: Pricking, piercing or incising of the clitoris and/or labia; stretching of the clitoris and/or labia; cauterisation by burning of the clitoris and surrounding tissue; scraping of tissue surrounding the vaginal orifice or cutting of the vagina; introduction of corrosive substances or herbs into the vagina to cause bleeding or for the purposes of tightening or narrowing it; any of the procedure which falls under the definition of female genital mutilation given above.

Health consequences


The health consequences principally depends on the type of FGM / cutting and methods used

Short Term
  • shock
  • haemorrhage
  • trauma
  • infection
  • urinary retention
  • death

Long Term
  • implantation cysts
  • dysuria
  • surgery required to achieve intercourse
  • dyspareunia
  • psycho-social
  • PID/Infertility
  • Dysmenorrhoea
  • Vaginal infection

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