Egyptian female genital “norm” and female genital self-image

Abstract

Female genital mutilation/cutting (FGM/C) is an ancient Egyptian practice. Its impact on genital self-image has not been thoroughly investigated. Many studies explore its effect on sexual function, however, its effect on genital self-image is not fully explored. This study determined whether FGM/C is still a “norm” and to assess its impact on genital self-image. Sexual function and genital self-image were assessed using the Arabic version of the Female Sexual Function Index (AVFSFI) scores and Arabic version of the female genital self-image scale (AVFGSIS), respectively. A cross-sectional survey of 1952 women was conducted. Data were gathered through personal interviews and examinations to identify the type of FGM/C. There was a statistically non-significant difference in AVFGSIS scores between type I, II FGM/C and non-FGM/C ( P > 0.05). Comparison of different AVFSFI domains with the total score on the AVFGSIS revealed a non-significant correlation with each domain (all P -values > 0.05). The overall female genital self-image was not affected, in spite of, the presence of a negative correlation between type II FGM/C and sexual satisfaction ( P < 0.05). FGM/C is still considered the “norm” in the modern world.