Survey Study of Acute and Long Term Effects of Female Genital Mutilation among Women in Sharkia Governorate


Objective: The aim of this study is to evaluate the acute and long-term effects of female genital mutilation (FGM) among women in Sharkia Governorate. Method: This was a cross-sectional descriptive study carried out in Zagazic University Hospital (ZUH) over a two years period from January 2012 to January 2014. The overall sample consisted of 1500 women. An interview was utilized to collect the necessary data. The questionnaires were administered face to face, in Arabic language. Four open and 25 close-ended questions were used to collect socio-demographic data of the sample: women’s experience about the circumcision, occurrence of health hazards after circumcision, and sexual effects on married women. Intention of all women (circumcised or not) to circumcise their daughters was also documented. Results: This study revealed that the prevalence of FGM in Sharkia Governorate was about 85.5%. The majority of circumcised women were Muslims (94.4%), married (87.9%), housewife (81.4%), illiterate or with low education level (45.5% and 38.5% respectively) and from rural areas (82.2%). The most common types of FGM were type I (49.2%) and type II (50.8%). The most common motive of FGM was the religious cause (46.6%). The majority of circumcised women (59%) denied the occurrence of any acute complication. The reported acute complications in this study were bleeding (19.6%), urine retention (2.3%), infection (6.3%) and difficult walking (12.8%). The majority of circumcised women (86%) denied the occurrence of any problems at labor related to circumcision. The reported problems at labor in this study were narrowing of introitus (8.4%), laceration (0.7%) and bleeding (4.9%). In this study, 74.6% of circumcised women believed that there was no effect of circumcision on their sexual satisfaction and 92.1% of circumcised women believed that there was no effect of circumcision on their husband’s sexual satisfaction. Approximately 16% of circumcised women complained of dyspareunia and believed that it was related to circumcision. Conclusion: Female circumcision is deeply rooted in our community and laws alone will not eradicate it. Moreover, this approach may drive it underground. Increased media coverage, statements by ministers, religious leaders and non-governmental organizations may lead to increased discussion of the topic at a local level. Spreading the message by means of pictures, song and drama as well as economic development will be more effective.

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Arafa, E. , Abdelghany, A. , Madkour, N. , Nossair, W. and Mohamed, E. (2014) Survey Study of Acute and Long Term Effects of Female Genital Mutilation among Women in Sharkia Governorate. Open Journal of Obstetrics and Gynecology, 4, 874-880. doi: 10.4236/ojog.2014.414123.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] World Health Organization (1998) Female Genital Mutilation. An Overview. WHO, Geneva.
[2] World Health Organization (2007) Maternal Mortality in 2005. Estimates Developed by WHO, UNICEF, UNFPA and The World Bank. WHO, Geneva.
[3] El-Gibaly, O., Ibrahim, B., Mensch, B.S. and Clark, W.H. (2002) The Decline of Female Circumcision in Egypt: Evidence and Interpretation. Social Science & Medicine, 52, 1013-1028.
[4] Hassnin, I.M., Salch, R., Bedaiwy, A.A., Peterson, R.S. and Bedaiwy (2008) Prevalence of Female Genital Cutting in Upper Egypt: 6 Years after Enforcement of Prohibition Law. Reproductive BioMedicine Online, 16, 27-31.
[5] Hosken, F.P. (1993) The Hosken Report. Genital and Sexual Mutilation of Females. Women International New York News, 4th Edition, Lexington.
[6] Lovel, H., Mc Gettigan, C. and Mohamed, Z. (2008) A Systematic Review of Health Complications of Female Genital Mutilation including Sequelae in Childbirth. WHO, Geneva.
[7] Ina, I. (1979) Female Circumcision Physical and Mental Complication. WHO Seminar on Traditional Practices Affecting the Health of Women and Children, Khartoum.
[8] Shandall, A.A. (1967) Circumcision and Infibulations of Females: A General Consideration of the Problem and a Clinical Study of the Problem in Sudanese Women. Sudan Medical Journal, 5, 178-212.
[9] Banks, E., Meiri, K.O., Farley, T., Akande, O. and Bathija, H., WHO Study Group on Female Genital Mutilation and Obstetric Outcome (2006) WHO Collaborative Prospective Study in Six African Countries. Lancet, 367, 1835-1841.
[10] Al-Hussein, T.K. (2003) Female Genital Cutting: Types, Motives and Perineal Damage in Laboring Egyptian Women. Medical Principles and Practice, 12, 123-128.
[11] De Silva, S. (1989) Obstetric Squeals of Female Circumcision. The European Journal of Obstetrics & Gynecology and Reproductive Biology, 32, 233-240.
[12] Sayed, G., El-Aty, M.A. and Fadel, K. (1996) The Practice of Female Genital Mutilation in Upper Egypt. International Journal of Gynecology and Obstetrics, 55, 285-291.
[13] Tag-Eldin, M.A., Gadallah, M.A., Al-Tayep M.N., Abdel-Ary, M., Mansour, E. and Sallem, M. (2008) Prevalence of Female Genital Mutilation among Egyptian Girls. Bulletin of the World Health Organization, 386, 269-274.
[14] Ibrahim, M.A. and Hassnin, O. (2013) Impact of the Complete Ban on the Female Genital Cutting on the Attitude of Educated Women from Upper Egypt toward the Practice. International Journal of Gynecology & Obstetrics, 275-278.
[15] Shadya, H. and Mohammed, F. (1987) Assessment of the Knowledge and Attitude of Egyptian Women towards Female Circumcision. International Journal of Gynecology & Obstetrics, 70-88.
[16] Satti, A., Elmusharaf, S., Bedri, H., Idris, T., Hashim, M.S., Suliman, G.I. and Almroth, L. (2006) Prevalence and Determinants of the Practice of Genital Mutilation of Girls in Khartoum, Sudan. Annals of Tropical Paediatrics, 26, 303- 310.
[17] Afifi, M. and Von Bothmer, M. (2007) Egyptian Women’s Attitudes and Beliefs about Female Genital Cutting and Its Association with Childhood Maltreatment. Nursing & Health Sciences, 9, 270-276.
[18] Afifi, M. (2009) Women’s Empowerment and the Intention to Continue the Practice of Female Genital Cutting in Egypt. Archives of Iranian Medicine, 12, 154-160.
[19] Rasheed, S.M., Abd-Ellah, A.H. and Yousef, F.M. (2011) Female Genital Mutilation in Upper Egypt in the New Millennium. International Journal of Gynecology & Obstetrics, 114, 47-50.

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