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Abstract
To compare the sexual function of women with female genital mutilation (FGM) to women
without FGM.
A prospective case-control study.
A tertiary referral university hospital.
One hundred and thirty sexually active women with FGM and 130 sexually active women
without FGM in Jeddah, Saudi Arabia.
Women with and without FGM were asked to answer the Arabic-translated version of the
female sexual function index (FSFI) questionnaire.
The individual domain scores for pain, arousal, lubrication, orgasm, satisfaction,
pain, and overall score of the FSFI were calculated.
The two groups were comparable in demographic characteristics. There were no statistically
significant differences between the two groups in mean desire score (+/- standard
deviation) or pain score. However, there were statistically significant differences
between the two groups in their scores for arousal, lubrication, orgasm, and satisfaction
as well as the overall score.
Sexual function in women with FGM is adversely altered. This adds to the well-known
health consequences of FGM. Efforts to document and explain these complications should
be encouraged so that FGM can be abandoned.
Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc.
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