#FemaleGenitalMutilation

IMPACT OF FGM ON GIRLS AND WOMEN IN THE SOCIETY

The Centre for Family Health Initiative (CFHI) stands in solidarity with worldwide efforts aimed at eliminating FGM in commemoration of the International Day of Zero Tolerance for Female Genital Mutilation (FGM).

Female Genital Mutilation (FGM) is a form of gender-based violence that has plagued women and girls for centuries. It is internationally denounced as a breach of the fundamental human rights of girls and women. The United Nations reports that over 200 million girls and women currently alive have been subjected to FGM.¹ Alarmingly, in the year 2024 alone, approximately 4.4 million girls—or more than 12,000 daily—are at imminent risk of undergoing FGM across the globe.²

Proponents of FGM often defend the practice by citing cultural traditions, alleging that it curtails female sexuality and preserves virginity before marriage. Others mistakenly believe that FGM offers hygienic benefits, reduces promiscuity, modifies socio-sexual behaviour, promotes fertility, and even augments marriage prospects.

However, research and studies unequivocally demonstrate that FGM offers no health advantages to girls or women. On the contrary, those subjected to FGM experience immediate complications such as intense pain, shock, excessive bleeding, infection, and difficulties urinating. The long-term repercussions are equally dire, adversely affecting their sexual, reproductive, and mental health. These findings underscore the fact that FGM is a cultural practice deeply rooted in gender inequality, as highlighted by the United Nations.

The persistence of FGM underscores the critical need for comprehensive education and community engagement to dismantle myths surrounding the practice and promote gender equality. Empowering girls and women through education, providing support to communities in transitioning away from FGM, and enforcing legal frameworks that protect the rights of girls and women are vital steps towards eradicating FGM.

As we observe the International Day of Zero Tolerance for Female Genital Mutilation, CFHI echoes the call for a united action by the government, organisations, stakeholders, and individuals in the fight against FGM. It is imperative to listen to and amplify the voices of girls and women affected by FGM, to ensure their rights are protected, and to work tirelessly towards a future where every girl can grow up free from the threat of gender-based violence.

Her voice. Her future. Let’s End FGM Today.

Speak Wednesday is an initiative of CFHI to address issues around gender-based violence and gender bias.

.1. United Nations_Female Genital Mutilation Day Observance
.2. UNFPA_International Day of Zero Tolerance Female Genital Mutilation

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Speak Wednesday – Female Genital Mutilation

End FGM / cfhinitiative

Following the expository overview of the practice of female genital mutilation (FGM) last week, there is no gainsaying the fact that FGM has no health benefits for girls and women, but rather constitutes a major risk for women and children who are affected.

Today on Speak Wednesday, we will be discussing one of the long-term complications of FGM which is child delivery complications. There is a high probability that women with FGM tend to experience complications during childbirth. This depends on the type of FGM, meaning the more severe the type of FGM, the more serious the complications.

A study coordinated by @WHO in 28 obstetric centres in 6 African countries including Nigeria shows that deliveries of women who had undergone genital mutilation were significantly more likely to be complicated by caesarean section, postpartum haemorrhage, and prolonged maternal hospitalization than those of women who had not.

Besides being associated with childbirth complications, FGM could lead to obstetric complications that can result in a higher incidence of infant resuscitation at delivery and intrapartum stillbirth and neonatal death.

There is no justifiable reason for FGM. It is a crime against nature’s integrity and a violation of human right, with the risk of causing trauma and leading to problems related to girls’ and women’s mental health and well-being. (WHO,2020)

#EndFGM #SpeakWednesday

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International Day of Zero Tolerance for Female Genital Mutilation

MONDAY HEALTH BURST

Female Genital Mutilation, Gender, Health, Health Communication, HIV/AIDS, Hygiene, Mental Health, Monday Health Burst, Stop FGM, Women's Rights / cfhinitiative

EFFECTS OF FEMALE GENITAL MUTILATION (FGM)

According to World Health Organization, more than 200 million girls and women alive today have undergone female genital mutilation (FGM) in 30 countries in Africa, mostly in the Middle East and Asia. All forms of FGM are associated with increased health risk in the short- and long-term. Below are some of the health risks.

Short-term health risks of FGM

Severe pain. Cutting the nerve ends and sensitive genital tissue causes extreme pain. The healing period is also painful.

Shock. Can be caused by pain, infection and/or haemorrhage.

Genital tissue swelling. Due to inflammatory response or local infection.

Infections. May spread after the use of contaminated instruments (e.g. use of same instruments in multiple genital mutilation operations), and during the healing period.

Excessive bleeding (haemorrhage). Can result if the clitoral artery or other blood vessel is cut.

Human immunodeficiency virus (HIV). The direct association between FGM and HIV remains unconfirmed, although the cutting of genital tissues with the same surgical instrument without sterilization could increase the risk for transmission of HIV between girls who undergo female genital mutilation together.

Urination problems. These may include urinary retention and pain passing urine. This may be due to tissue swelling, pain or injury to the urethra.

Impaired wound healing. Can lead to pain, infections and abnormal scarring.

Death. Death can result from infections, including tetanus, as well as haemorrhage that can lead to shock.

Mental health problems. The pain, shock and the use of physical force during the event, as well as a sense of betrayal when family members condone and/or organize the practice, are reasons why many women describe FGM as a traumatic event.

Long-term health risks of FGM

Infections:

Chronic genital infections. With consequent chronic pain, and vaginal discharge and itching. Cysts, abscesses and genital ulcers may also appear.
Chronic reproductive tract infections. May cause chronic back and pelvic pain.
Urinary tract infections. If not treated, such infections can ascend to the kidneys, potentially resulting in renal failure, septicaemia and death. An increased risk of repeated urinary tract infections is well documented in both girls and adult women who have undergone FGM.

Painful urination. Due to obstruction of the urethra and recurrent urinary tract infections.

Vaginal problems. Discharge, itching, bacterial vaginosis and other infections.

Menstrual problems. Obstruction of the vaginal opening may lead to painful menstruation (dysmenorrhea), irregular menses and difficulty in passing menstrual blood, particularly among women with Type III FGM.

Excessive scar tissue (keloids). Excessive scar tissue can form at the site of the cutting.

HIV (Human immunodeficiency virus). Given that the transmission of HIV is facilitated through trauma of the vaginal epithelium which allows the direct introduction of the virus, it is reasonable to presume that the risk of HIV transmission may be increased due to increased risk of bleeding during intercourse, because of FGM.

Sexual health problems. FGM damages anatomic structures that are directly involved in female sexual function and can therefore also influence women’s sexual health and well-being. Removal of, or damage to, highly sensitive genital tissue, especially the clitoris, may affect sexual sensitivity and lead to sexual problems, such as decreased sexual desire and pleasure, pain during sex, difficulty during penetration, decreased lubrication during intercourse, and reduced frequency or absence of orgasm (anorgasmia). Scar formation, pain and traumatic memories associated with the procedure can also lead to such problems.

Childbirth complications (obstetric complications). FGM is associated with an increased risk of caesarean section, postpartum haemorrhage, recourse to episiotomy, difficult labour, obstetric tears/lacerations, instrumental delivery, prolonged labour, and extended maternal hospital stay. The risks increase with the severity of FGM.

Obstetric fistula. A direct association between FGM and obstetric fistula has not been established. However, given the causal relationship between prolonged and obstructed labour and fistula, and the fact that FGM is also associated with prolonged and obstructed labour, it is reasonable to presume that both conditions could be linked in women living with FGM.

Perinatal risks. Obstetric complications can result in a higher incidence of infant resuscitation at delivery and intrapartum stillbirth and neonatal death.

Mental health problems. Studies have shown that girls and women who have undergone FGM are more likely to experience post-traumatic stress disorder (PTSD), anxiety disorders, depression and somatic (physical) complaints (e.g. aches and pains) with no organic cause.

Pain. Due to tissue damage and scarring that may result in trapped or unprotected nerve endings.

Though FGM may be normative and considered to be of cultural significance in some settings, the practice is always a violation of human rights, with the risk of causing trauma and leading to problems related to girls’ and women’s mental health and well-being. (WHO,2020)

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SPEAK WEDNESDAY

16DaysOfActivism, Female Genital Mutilation, Gender, Gender Based Violence, Health / cfhinitiative

FEMALE GENITAL MUTILATION AND ITS EFFECTS

“Have you ever heard of Female genital mutilation? The doctor asked me. This was after my over 20 hours of labor, an ordeal which left me depressed for over a month. It took me a while before I responded because it was the least question I ever would imagine answering at such moment.
I had just come out of one of the difficult deliveries he had ever carried out he continued after I replied “yes”. A delivery which at first didn’t seem like I was going to spend more than 6 hours at most because I was 100% effaced and with my labor progression, getting dilated would not be so much of a trouble. After being fully dilated and the baby just wouldn’t come down the delivery canal, an assisted delivery using a vacuum extractor was performed which left me with a vaginal hematoma and still with no baby, I was opted for a caesarean section due to the excessive bleeding and the other effects an obstructed labor has on both mother and unborn child. After all the medical jargons, he finally disclosed I had been genitally mutilated probably as a child and it was the reason for the complications I had just experienced.”

The above near death experience was recounted by Mrs Mary Alex, a human rights activist and a current volunteer at Centre for Family Health Initiative ……….

Female genital mutilation (FGM) is a traditional practice that has no medical benefit and severe health consequences for girls and women. According to Wikipedia, It is a procedure that involves partial or completely removing the external females genitalia or other injury to the female genital organs whenever for non-medical reasons. FGM is recognized internationally as a violation of the human rights of girls and women. It deprives them of the opportunity to make critical and informed decisions about their sexuality. It is an act which is deeply rooted in cultural beliefs and perceptions. Data shows that Nigeria, due to its large population, has the highest number of female genital mutilation (FGM) worldwide. About 20 million women and girls in Nigeria have undergone female genital mutilation which is 10% of the global total.

There are 4 types of FGM; Type I, Type II, Type III and Type IV. Types I and II are most prevalent, but variation exists within countries and communities. Type III is experienced by about 10 per cent of all affected women. FGM has serious implications for the sexual and reproductive health of girls and women. Its effects vary depending on the type performed, the expertise of the practitioner and the conditions under which it is performed. Complications can include severe pain, shock, hemorrhage, infection, urine retention and more. In some cases, hemorrhage and infection can be severe enough to cause death. Long-term risks include complications during childbirth (difficult delivery, excessive bleeding, caesarean section, need to resuscitate the baby, etc.) and newborn deaths; vaginal problems (discharge, itching, bacterial vaginosis and other infections); menstrual problems (painful menstruations, difficulty in passing menstrual blood, etc.); scar tissue and keloid; sexual problems (pain during intercourse, decreased satisfaction, etc.) and psychological problems (depression, anxiety, post-traumatic stress disorder, low self-esteem, etc.) among others.

Despite the graveness of the issue, the practicing societies consider it as a necessary part of raising a girl, and a way to prepare her for adulthood and marriage. It is seen as a sure medium to ensure premarital virginity and marital fidelity.
Currently, 13 out of 36 states in Nigeria have their own individual state laws expressly prohibiting FGM/C. These states are Lagos, Osun, Ondo, Ekiti, Bayelsa, Ogun, Delta, Ebonyi, Oyo, Imo, Edo, Cross-River and Rivers. The 2015 Violence Against Persons Prohibition Act (VAPP) acknowledges FGM as a criminal act, however since its enactment, there has been no convictions. Out of the 36 states, only 4 states: Abuja, Anambra, Oyo and Ebonyi have domesticated or actively enforced the law.

Speak Wednesday is an initiative of CFHI to address issues of gender based violence and gender inequality. Join us every Wednesday on all our social media platforms for more episodes.

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