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Abstract：
BACKGROUND: The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women.
METHODS: We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function). Genital Examination was done to confirm the type of FGM.
RESULTS: Female sexual dysfunction (FSD) was found in 83.8% of FGM/C cases in contrast to 64.5% of the control. The total FSFI score in the FGM/C group (19.82 ± 7.1) was significantly lower than in the control group (23.34 ± 8.1). Concerning the types of FGM/C, type 73.6% of cases had type I and 26.4% had type II. Type I FGM/C was performed mainly by physicians (62.1%) while type II was performed mainly by midwives (44.4%). FSD was found in 83.4% of FGM/C I cases and in 84.6% of FGM/C II cases. There was no statistically significant difference between the two types of FGM/C as regards total and individual domain scores except for the pain domain. There were significantly lower total and individual domain scores in both FGM/C types except for the desire domain compared to control.
CONCLUSIONS: In this study, FGM/C was associated with reduced scores of FSFI on all domains scores, and among both types I and II, both were associated with sexual dysfunction.
METHODS: We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function). Genital Examination was done to confirm the type of FGM.
RESULTS: Female sexual dysfunction (FSD) was found in 83.8% of FGM/C cases in contrast to 64.5% of the control. The total FSFI score in the FGM/C group (19.82 ± 7.1) was significantly lower than in the control group (23.34 ± 8.1). Concerning the types of FGM/C, type 73.6% of cases had type I and 26.4% had type II. Type I FGM/C was performed mainly by physicians (62.1%) while type II was performed mainly by midwives (44.4%). FSD was found in 83.4% of FGM/C I cases and in 84.6% of FGM/C II cases. There was no statistically significant difference between the two types of FGM/C as regards total and individual domain scores except for the pain domain. There were significantly lower total and individual domain scores in both FGM/C types except for the desire domain compared to control.
CONCLUSIONS: In this study, FGM/C was associated with reduced scores of FSFI on all domains scores, and among both types I and II, both were associated with sexual dysfunction.
摘要：
背景：关于女性生殖器切割/切割（FGM/C）对性功能的影响，现有文献是矛盾的。这项研究的目的是探讨I型和II型FGM/C对埃及妇女性功能的影响。
方法：我们从因不同原因访问Assiut大学医院的人中招募了197名切割妇女和197名对照妇女。我们要求每位女性填写阿拉伯女性性功能指数（FSFI）（自我报告的19项问卷，评估女性性功能的主要领域）。进行生殖器检查以确认FGM的类型。
结果：在FGM/C病例中发现了83.8％的女性性功能障碍（FSD），而对照组为64.5％。FGM/C组FSFI总分(19.82±7.1)明显低于对照组(23.34±8.1)。关于FGM/C的类型，73.6%的病例为I型，26.4%为II型。I型FGM/C主要由医师执行（62.1％），而II型主要由助产士执行（44.4％）。在83.4%的FGM/CI病例和84.6%的FGM/CII病例中发现了FSD。除疼痛领域外，两种类型的FGM/C在总体和单个领域得分方面没有统计学上的显着差异。与对照相比，除期望域外，两种FGM/C类型的总和单个域得分均显着较低。
结论：在这项研究中，FGM/C与所有领域得分的FSFI得分降低相关，在I型和II型中，两者均与性功能障碍相关.
方法：我们从因不同原因访问Assiut大学医院的人中招募了197名切割妇女和197名对照妇女。我们要求每位女性填写阿拉伯女性性功能指数（FSFI）（自我报告的19项问卷，评估女性性功能的主要领域）。进行生殖器检查以确认FGM的类型。
结果：在FGM/C病例中发现了83.8％的女性性功能障碍（FSD），而对照组为64.5％。FGM/C组FSFI总分(19.82±7.1)明显低于对照组(23.34±8.1)。关于FGM/C的类型，73.6%的病例为I型，26.4%为II型。I型FGM/C主要由医师执行（62.1％），而II型主要由助产士执行（44.4％）。在83.4%的FGM/CI病例和84.6%的FGM/CII病例中发现了FSD。除疼痛领域外，两种类型的FGM/C在总体和单个领域得分方面没有统计学上的显着差异。与对照相比，除期望域外，两种FGM/C类型的总和单个域得分均显着较低。
结论：在这项研究中，FGM/C与所有领域得分的FSFI得分降低相关，在I型和II型中，两者均与性功能障碍相关.
