@article{ref1,
title="Effects of female genital mutilation/cutting on the sexual function of Sudanese women: A cross-sectional study",
journal="American journal of obstetrics and gynecology",
year="2017",
author="Rouzi, Abdulrahim A. and Berg, Rigmor C. and Sahly, Nora and Alkafy, Susan and Alzaban, Faten and Abduljabbar, Hassan",
volume="217",
number="1",
pages="62.e1-62.e6",
abstract="BACKGROUND: Female Genital Mutilation/Cutting (FGM/C) is a cultural practice that involves several types of removal or other injury to the external female genitalia for non-medical reasons. While much international research has focused on the health consequences of the practice, little is known about sexual functioning among women with various types of FGM/C. <br><br>OBJECTIVE(S): To assess the impact of FGM/C on the sexual functioning of Sudanese women. STUDY DESIGN: This is a cross-sectional study conducted at Doctor Erfan and Bagedo Hospital, Jeddah, Saudi Arabia. Eligible women completed a survey and a clinical examination, which documented and verified women's type of FGM/C. The main outcome measure was female sexual function, as assessed by the Arabic Female Sexual Function Index (ArFSFI). <br><br>RESULTS: 107 eligible women completed the survey and the gynecological exam, which revealed that 39% of the women had FGM/C type I, 25% had type II, and 36% had type III. Reliability of self-report of the type of FGM/C was low, with underreporting of the extent of the procedure. The results showed that 92.5% of the women scored lower than the ArFSFI cut-off point for sexual dysfunction. The multivariable regression analyses showed that sexual dysfunction was significantly greater with more extensive type of FGM/C, across all sexual function domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) and overall. <br><br>CONCLUSION(S): The study documents that a substantial proportion of women subjected to FGM/C experience sexual dysfunction. It shows that the anatomical extent of FGM/C is related to the severity of sexual dysfunction.<br><br>Copyright © 2017 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9378",
doi="10.1016/j.ajog.2017.02.044",
url="http://dx.doi.org/10.1016/j.ajog.2017.02.044"
}