Consequences of female genital mutilation on women’s sexual health : systematic review and meta-analysis

Nzinga, Andy-Muller (Pelvic floor Re-education Unit, Department of Physical Medicine and Rehabilitation, University Clinics of Kinshasa, Faculty of Medicine, University of Kinshasa (UNIKIN), Kinshasa, Democratic Republic of Congo (DRC)) ; De Andrade Castanheira, Stéphanie (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Hermann, Jessica (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Feipel, Véronique (Laboratory of Functional Anatomy, Faculty of Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium ; Laboratory of Anatomy, Biomechanics, and Organogenesis, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium) ; Kipula, Augustin Joseph (Pelvic floor Re-education Unit, Department of Physical Medicine and Rehabilitation, University Clinics of Kinshasa, Faculty of Medicine, University of Kinshasa (UNIKIN), Kinshasa, Democratic Republic of Congo (DRC)) ; Bertuit, Jeanne (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland)

Background. Female genital mutilation (FGM) can leave a lasting mark on the lives and minds of those affected. Aim. To assess the consequences of FGM on women’s sexual function in women who have undergone FGM compared to women who have not undergone FGM. Methods. A systematic review and meta-analysis were conducted from 3 databases; inclusion and exclusion criterions were determined. Studies included adult women having undergone FGM and presenting sexual disorders assessed by the Female Sexual Function Index (FSFI). Results. Of 129 studies, 5 that met the criteria were selected. The sexual function of mutilated women, based on the FSFI total score and its different domains, was compared to the sexual function of non-mutilated women. There was a significant decrease in the total FSFI scores of mutilated women compared to non-mutilated women. However, the results obtained for the different domains were not the same for all authors. The meta-analysis highlighted a high heterogeneity with inconsistency and true variance in effect size between-studies. Conclusion. Analysis of studies showed that there is a significant decrease in the total FSFI score, indicating that FGM of any type may cause impaired sexual functioning. But a firm conclusion on this topic is not yet achievable because the results of this analysis do not allow to conclude a cause and effect relationship of FGM on sexual function.


Keywords:
Article Type:
scientifique
Faculty:
Santé
Branch:
Physiothérapie
School:
HESAV
Institute:
Unité de recherche en santé, HESAV
Date:
2020-04
Pagination:
11 p.
Published in:
The Journal of sexual medicine
Numeration (vol. no.):
April 2021, vol. 18, no. 4, pp. 750-760
DOI:
ISSN:
1743-6095
Appears in Collection:



 Record created 2021-05-21, last modified 2021-05-25

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