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Effect of Female Genital Cutting on the Sexual Function among Egyptian Women: A Cross-Sectional Study 女性生殖器切割对埃及女性性功能的影响:一项横断面研究
Pub Date : 1900-01-01 DOI: 10.31829/2641-7456/ahs2021-5(1)-007
The existing literature on female genital cutting (FGC) is conflicting regarding its effects on sexual functions. The study aims is to evaluate the effects of FGC on the female sexual function. Methods: A cross sectional study was carried out between April 2018 and January 2019. We included married women, aged 18-45 years old and sexually active during the last six months. All women were asked to complete the Arabic Female Sexual Function Index (ArFSFI) independently. The cut-off score to define sexual dysfunction on the total FSFI score is 28.1. Then, the gynecologist conducted a thorough clinical examination and a detailed assessment of the type and extent of FGC. Continuous data was expressed in the form of mean±SD while nominal data was expressed in the form of frequency and percentage. Results: The study included 200 women divided into two groups; group (I) FGC, n=127 women and group (II) no FGC, n=73 women. There was no statistically significant difference in sexual function between both groups [91 women (71.7%) in group I vs. 53 women (72.6%) in group II, p=0.511]. The mean total ArFSFI score in group I was 25.8±3.05 vs. 25.4±3.64 in group II (p=0.598). No statistically significant difference in the sexual function between women with type I and type II FGC (p=0.555). Conclusions: FGC is not associated with reduced scores of ArFSFI either in all domain scores or the total score. Moreover, no difference in the scores of the ArFSFI between women with type I or type II FGC.
关于女性生殖器切割(FGC)的现有文献在其对性功能的影响方面存在矛盾。本研究旨在评价FGC对女性性功能的影响。方法:2018年4月至2019年1月进行横断面研究。我们选取了年龄在18-45岁之间,在过去六个月内性生活活跃的已婚女性。所有女性被要求独立完成阿拉伯女性性功能指数(ArFSFI)。性功能障碍在FSFI总分上的临界值为28.1。然后,妇科医生进行了全面的临床检查,并对FGC的类型和程度进行了详细的评估。连续数据以mean±SD形式表示,标称数据以频率和百分比形式表示。结果:研究纳入200名女性,分为两组;(1) FGC组,127名女性;(2)非FGC组,73名女性。两组患者性功能差异无统计学意义[I组91例(71.7%)vs II组53例(72.6%),p=0.511]。ⅰ组ArFSFI总分平均为25.8±3.05分,ⅱ组为25.4±3.64分(p=0.598)。I型和II型FGC患者的性功能差异无统计学意义(p=0.555)。结论:FGC与ArFSFI评分的降低无关,无论是在所有领域评分还是在总分上。此外,I型和II型FGC女性的ArFSFI评分没有差异。
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