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Female Genital Mutilation and Risk for Transmission of STIs

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Sexually Transmitted Infections and Sexually Transmitted Diseases

Abstract

Female genital mutilation (FGM) is a traditional cultural practice, but also a form of violence against girls, which affects their lives as adult women. FGM comprises a wide range of procedures: the excision of the prepuce; the partial or total excision of the clitoris (clitoridectomy) and labia; or the stitching and narrowing of the vaginal orifice (infibulation). The number of girls and women who have been subjected to FGM is estimated at around 137 million worldwide and 3 million girls per year are considered at risk. Most of the females who have undergone mutilation live in 28 African countries.

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References

  1. Adler, M.W.: Sexually transmitted diseases control in developing countries. Genitourin. Med. 72, 83–88 (1996)

    PubMed  CAS  Google Scholar 

  2. Asali, A., Khamaysi, N., Aburabia, Y., et al.: Ritual female genital surgey among Bedouin in Israel. Arch. Sex. Behav. 24, 573–577 (1995)

    Article  Google Scholar 

  3. Brady, M.: Female genital mutilation: complications and risk of HIV transmission. AIDS Patient Care STD 13(12), 709–716 (1999)

    Article  CAS  Google Scholar 

  4. Carr, D.: Female Genital Cutting. Findings from the Demographic and Health Surveys Programme, pp. 7–9. Macto International, Calverton (1997)

    Google Scholar 

  5. Catania, L., Adbulcadir, O., Puppo, V., et al.: Pleasure and orgasm in women with female genital mutilation/cutting (FGM/C). J. Sex. Med. 4(6), 1666–1678 (2007)

    Article  PubMed  Google Scholar 

  6. Dirie, M.A., Lindmark, G.: The risk of medical complications after female circumcision. East Afr. Med. J. 69, 479–482 (1992)

    PubMed  CAS  Google Scholar 

  7. Duncan, M.E., Reimann, K., Tibaux, G., et al.: Seroepidemological study of gonorrhea in Ethiopian women. 1. Prevalence and clinical significance. Genitourin. Med. 67, 485–492 (1991)

    PubMed  CAS  Google Scholar 

  8. Duncan, M.E., Jamil, Y., Tibaux, G., et al.: Chlamydial infection in a population of Ethiopian women attending obstetric, gynaecological and mother and child health clinics. Cent. Afr. J. Med. 42, 1–14 (1996)

    PubMed  CAS  Google Scholar 

  9. El Dareer, A.A.: Epidemiology of female circumcision in the Sudan. Trop. Doct. 13, 41–45 (1983)

    PubMed  Google Scholar 

  10. Elmusharaf, S., Elkhidir, I., Hoffmann, S., et al.: A case-control study on the association between female genital mutilation and sexually transmitted infections in Sudan. BJOG 113, 349–374 (2006)

    Google Scholar 

  11. Grisaru, N., Lazer, S., Belmaker, R.H.: Ritual female genital surgery among Ethiopian Jews. Arch. Sex. Behav. 26, 211–215 (1997)

    Article  PubMed  CAS  Google Scholar 

  12. Hrdy, D.B.: Cultural practices contributing to the transmission of HIV in Africa. Rev. Infect. Dis. 9(6), 1109–1117 (1987)

    Article  PubMed  CAS  Google Scholar 

  13. Kun, K.E.: Female genital mutilation: the potential for increased risk of HIV infection. Int. J. Gynecol. Obstet. 15, 153–155 (1997)

    Google Scholar 

  14. Linke, U.: AIDS in Africa. Science 231, 203 (1986)

    Article  PubMed  CAS  Google Scholar 

  15. Machungo, F., Zanconato, G., Persson, K., et al.: Syphilis, gonorrhea and chlamydial infection among women undergoing legal or illegal abortion in Maputo. Int. J. STD AIDS 13, 326–330 (2002)

    Article  PubMed  CAS  Google Scholar 

  16. Monjok, E., Essien, E.J., Holmes, L.: Female genital mutilation: potential for HIV transmission in sub – Saharan Africa and prospect for epidemiologic investigation and intervention. Afr. J. Reprod. Health 11(1), 33–42 (2007)

    Article  PubMed  Google Scholar 

  17. Morrone, A., Hergocova, J., Lotti, T.: Stop female genital mutilation: appeal to the international dermatologic community. Int. J. Dermatol. 41, 253–263 (2002)

    Article  PubMed  Google Scholar 

  18. Mutenbei, I. B., Mwesiga, M.K.: The impact of obsolete traditions on HIV/AIDS rapid transmission in Africa: the case of compulsory circumcision on young girls in Tanzania. Int Conf on AIDS. 12, 436(abstract 23473) (1998)

    Google Scholar 

  19. Okonofu, F.E., Larsen, U., Oronsaye, F., et al.: The association between female genital cutting and correlates of sexual and gynecological morbidity in Edo State, Nigeria. BJOG 109, 1089–1096 (2002)

    Article  PubMed  CAS  Google Scholar 

  20. Paavonen, J., Eggert-Kruse, W.: Chlamydia trachomatis: impact on human reproduction. Hum. Reprod. Update 5, 433–447 (1999)

    Article  PubMed  CAS  Google Scholar 

  21. Rushwan, H.: Etiologic factors in pelvic inflammatory disease in Sudanese women. Am. J. Obstet. Gynecol. 138, 877–879 (1980)

    PubMed  CAS  Google Scholar 

  22. Shandall, A.: Circumcision and infibulations of females. Sudan Med. J. 5, 178–212 (1967)

    PubMed  CAS  Google Scholar 

  23. Toubia, N.: Female Genital Mutilation: A Call for Global Action, 2nd edn, pp. 35–44. Rainbo, New York (1995)

    Google Scholar 

  24. UNICEF: Female Genital Mutilation/Cutting: A Statistical Exploration. UNICEF, New York (2005)

    Google Scholar 

  25. WHO study group on female genital mutilation and obstetric outcome, Banks, E., Meirik, O., Farley, T., et al.: Female genital mutilation and obstetric outcome: WHO collaborative prospective study in six African countries. Lancet. 367(9525), 1835–1841 (2006)

    Google Scholar 

  26. World Health Organization. Female genital mutilation. Report of a WHO Technical Working Group, 17–19 July 1995, pp. 3–4. World Health Organization, Geneva (1996)

    Google Scholar 

  27. World Health Organization. Female genital mutilation: a joint WHO/UNICEF/UNFPA statement, pp.1–6. World Health Organization, Geneva (1997)

    Google Scholar 

  28. World Health Organization: Female genital mutilation – new knowledge spurs optimism. Progress in sexual and reproductive health research. WHO 72, 2–8 (2006)

    Google Scholar 

  29. Yoder, P.S., Abderrahim, N., Zhuzhuni, A.: Female Genital Cutting in the Demographic Health Surveys: A Critical and Comparative Analysis. ORC Marco, Calvelton (2004)

    Google Scholar 

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Correspondence to Aldo Morrone .

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Morrone, A., Calcaterra, R., Franco, G. (2011). Female Genital Mutilation and Risk for Transmission of STIs. In: Gross, G., Tyring, S. (eds) Sexually Transmitted Infections and Sexually Transmitted Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14663-3_59

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  • DOI: https://doi.org/10.1007/978-3-642-14663-3_59

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