Out of Eastern Africa: defibulation and sexual function in woman with female genital mutilation
- PMID: 21366880
- DOI: 10.1111/j.1743-6109.2011.02225.x
Out of Eastern Africa: defibulation and sexual function in woman with female genital mutilation
Abstract
Introduction: Female genital mutilation (FGM) is defined by the World Health Organization (WHO) as all procedures that involve partial or total removal of the female external genitalia and/or injury to the female genital organs for cultural or any other non-therapeutic reasons.
Aim: Aim of this study was to determine sexual function before and after defibulation using a CO(2) laser in migrant women who had undergone FGM in the past.
Main outcome measures: Female Sexual Function Index (FSFI) before and 6 months after defibulation.
Methods: Patients were asked to fill the FSFI before surgery and at 6 months follow-up. Defibulation took place under general anesthetic using a CO(2) laser.
Results: Eighteen patients underwent defibulation in a standardized manner and filled in the FSFI completely. Female sexual function improves after surgical defibulation in the domains desire, arousal, satisfaction, and pain whereas lubrification and orgasm remained unchanged.
Conclusion: Defibulation using CO(2) laser may improve some aspects of sexual function in patients who undergo defibulation but not all.
© 2011 International Society for Sexual Medicine.
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