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)
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S/N
|
PHYSCIAL
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PSYCHOLOGICAL
|
IMMEDIATE
|
INTERMEDIATE
|
LONG TERM
|
|
1.
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Fractures of the limbs from being forcibly
restrained.
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Acute trauma.
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Hemorrhage.
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Delayed wound healing.
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Chronic vaginal and pelvic infections which can
lead to infertility.
|
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2.
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Failure to heal.
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Low self-esteem.
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Pain.
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Scarring/Keloid formation.
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Difficulty passing urine due to the scar/ Urine
tract infections.
|
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3.
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Wound ulcer.
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Denial of sexuality and emphasis on reproductive.
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Shock.
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Pelvic Infection.
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Painful and prolonged periods due to vaginal
closure by the scar.
|
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4.
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Wound abscess.
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Genital phobia.
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Infection.
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Epidermoid cysts/Abscess.
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Stillbirth
|
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5.
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Urine infection.
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Anxiety-depression.
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Damage to other organs due to child struggling.
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Infection including tetanus and other blood borne
viruses.
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|
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6.
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HIV/AIDS.
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Acute trauma.
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Urinary Retention.
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Neuromata.
|
|
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7.
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Scar neuroma.
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Low self-esteem.
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Death.
|
|
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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.
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