Female Genital Mutilation



HISTORY

The history of FGM is not well known but the practice dated back at least 2000 years. It is not known when or where the tradition of Female Genital Mutilation originated from. It was believed that it was practiced in ancient Egypt as a sign of distinction amongst the aristocracy. Some believe it started during the slave trade when black slave women entered ancient Arab societies. Some believe FGM began with the arrival of Islam in some parts of sub-Saharan Africa. Some believe the practice developed independently among certain ethnic groups in sub-Saharan Africa as part of puberty rites. Overall, in the history, it was believed that FGM would ensure women’s virginity and reduction in the female desire.

FGM is the collective term for a range of procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for cultural or other non-therapeutic reasons, there are various forms.

TYPES OF FGM
Type 1: Excision of the prepuce, with or without excision of part or the entire clitoris.

Type 2: Excision of the clitoris with partial or total excision of the labia minora.

Type 3: Excision of part or all the external genitalia and stitching/narrowing of the vaginal opening (also known as infibulation). This type is most common in Somalia and Sudan.

Type 4: Unclassified - includes pricking or incising of the clitoris or labia, cauterization by burning of the clitoris or introduction of corrosive substances or herbs into the vagina. Sometimes the clitoris is buried rather than excised. (WHO 1998)

S/N
PHYSCIAL
PSYCHOLOGICAL
IMMEDIATE
INTERMEDIATE
LONG TERM
1.
Fractures of the limbs from being forcibly restrained.
Acute trauma.
Hemorrhage.
Delayed wound healing.
Chronic vaginal and pelvic infections which can lead to infertility.
2.
Failure to heal.
Low self-esteem.
Pain.
Scarring/Keloid formation.
Difficulty passing urine due to the scar/ Urine tract infections.
3.
Wound ulcer.
Denial of sexuality and emphasis on reproductive.
Shock.
Pelvic Infection.
Painful and prolonged periods due to vaginal closure by the scar.
4.
Wound abscess.
Genital phobia.
Infection.
Epidermoid cysts/Abscess.
Stillbirth
5.
Urine infection.
Anxiety-depression.
Damage to other organs due to child struggling.
Infection including tetanus and other blood borne viruses.

6.
HIV/AIDS.
Acute trauma.
Urinary Retention.
Neuromata.

7.
Scar neuroma.
Low self-esteem.
Death.




There remain considerable difficulties in investigating the relationships between FGM practices and experiences and subsequent psychological well-being. Despite that, small studies, qualitative analyses, personal accounts and clinical observations suggest that, FGM under several circumstances could have enduring traumatic effects and/or lead to sexual difficulties, which could reverberate on relationships and overall quality of life. Furthermore, a number of studies have demonstrated that with sensitivity and awareness, collaborative psychosocial studies with individuals, communities and health professionals are possible. This work has the potential to further our understanding about FGM issues in the UK context, thereby enhancing the quality of community and statutory services.

Content of this section represents an integration of Lih-Mei Liao’s clinical experience at the African Women’s Clinic at University College London Hospitals and her discussion papers:

● Liao LM. ‘Female Genital Mutilation: Psychological Implications’. Papers presented at Development Support
Agency Regional Conferences on Female Genital Mutilation & Mental Health, County Hall, London,
21 November 2005, and St James’ Hospital, Leeds, 10 February 2006.
● Liao LM. ‘Health Psychology’. In: N Patel, L Bennett, M Dennis, N Dosanjh, A Mahtani, A Miller & Z Nadishaw (Eds.) Clinical Psychology, ‘Race’ and Culture: A Training Manual. Leicester: British Psychological Society Books (2000), pp160-167.

Comments

Popular posts from this blog

CHALLENGES IN THE EDUCATION SYSTEM IN NIGERIA

Menace of early marriage in Africa continues