Tag Archives: Saudi Arabia

Effects of female genital mutilation/cutting on the sexual function of Sudanese women: a cross-sectional study.

Am J Obstet Gynecol. 2017 Jul;217(1):62.e1-62.e6. doi: 10.1016/j.ajog.2017.02.044. Epub 2017 Mar 3. Effects of female genital mutilation/cutting on the sexual function of Sudanese women: a cross-sectional study.

Rouzi AA, Berg RC, Sahly N, Alkafy S, Alzaban F, Abduljabbar H.


BACKGROUND: Female genital mutilation/cutting (FGM/C) is a cultural practice that involves several types of removal or other injury to the external female genitalia for nonmedical reasons. Although much international research has focused on the health consequences of the practice, little is known about sexual functioning among women with various types of FGM/C. OBJECTIVE: To assess the impact of FGM/C on the sexual functioning of Sudanese women. STUDY DESIGN: This is a cross-sectional study conducted at Doctor Erfan and Bagedo Hospital, Jeddah, Saudi Arabia. Eligible women completed a survey and a clinical examination, which documented and verified women’s type of FGM/C. The main outcome measure was female sexual function, as assessed by the Arabic Female Sexual Function Index. RESULTS: A total of 107 eligible women completed the survey and the gynecological examination, which revealed that 39% of the women had FGM/C Type I, 25% had Type II, and 36% had Type III. Reliability of self-report of the type of FGM/C was low, with underreporting of the extent of the procedure. The results showed that 92.5% of the women scored lower than the Arabic Female Sexual Function Index cut-off point for sexual dysfunction. The multivariable regression analyses showed that sexual dysfunction was significantly greater with more extensive type of FGM/C, across all sexual function domains (desire, arousal, lubrication,
orgasm, satisfaction, and pain) and overall. CONCLUSION: The study documents that a substantial proportion of women subjected to FGM/C experience sexual dysfunction. It shows that the anatomical extent of FGM/C is related to the severity of sexual dysfunction.

This article is available in this LINK

Bilateral hydronephrosis secondary to female circumcision

Kidney Int. 2014 Dec;86(6):1274. doi: 10.1038/ki.2014.130.

Bilateral hydronephrosis secondary to female circumcision

Davenport A


A 45-year-old woman visiting from the Arabian Peninsula was reviewed in the hospital with lower back pain. She was conservatively dressed, overweight, and thought to have mechanical back pain and vitamin D deficiency.

This article can be accessed in this LINK


Sexual function in women with female genital mutilation.

Fertil Steril. 2010 Feb;93(3):722-4. Epub 2008 Nov 25.

Sexual function in women with female genital mutilation.

Alsibiani SA, Rouzi AA.

Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia.


OBJECTIVE: To compare the sexual function of women with female genital mutilation (FGM) to women without FGM.

DESIGN: A prospective case-control study.

SETTING: A tertiary referral university hospital.

PATIENT(S): One hundred and thirty sexually active women with FGM and 130 sexually active women without FGM in Jeddah, Saudi Arabia.

INTERVENTION(S): Women with and without FGM were asked to answer the Arabic-translated version of the female sexual function index (FSFI) questionnaire.

MAIN OUTCOME MEASURE(S): The individual domain scores for pain, arousal, lubrication, orgasm, satisfaction, pain, and overall score of the FSFI were calculated.

RESULT(S): The two groups were comparable in demographic characteristics. There were no statistically significant differences between the two groups in mean desire score (+/- standard deviation) or pain score. However, there were statistically significant differences between the two groups in their scores for arousal, lubrication, orgasm, and satisfaction as well as the overall score.

CONCLUSION(S): Sexual function in women with FGM is adversely altered. This adds to the well-known health consequences of FGM. Efforts to document and explain these complications should be encouraged so that FGM can be abandoned.

This article can be accessed in this LINK

The use of intrapartum defibulation in women with female genital mutilation.

BJOG. 2001 Sep;108(9):949-51.

The use of intrapartum defibulation in women with female genital mutilation.

Rouzi AA, Aljhadali EA, Amarin ZO, Abduljabbar HS.

Department of Obstetrics and Gynaecology, King Abdulaziz University Hospital, Saudi Arabia.

OBJECTIVE: To assess the use of intrapartum defibulation for women who have had female genital mutilation.

DESIGN: A retrospective case analysis.

SETTING: King Abdulaziz University Hospital, a teaching hospital in Jeddah, Saudi Arabia.

SAMPLE: Two hundred and thirty-three Sudanese and 92 Somali women who were delivered at the hospital between January 1996 and December 1999.

METHODS: The outcome of labour of women with female genital mutilation who needed intrapartum defibulation were compared with the outcome of labour of women without female genital mutilation who did not need intrapartum defibulation.

RESULTS: One hundred and fifty-eight (48.6%) women had infibulation and needed intrapartum defibulation to deliver vaginally, 116 women (35.7%) did not have infibulation and gave birth vaginally without defibulation, and 51 (15.7%) women were delivered by caesarean section. There were no statistically significant differences, between women who underwent intrapartum defibulation and those who did not, in the duration of labour, rates of episiotomy and vaginal laceration, APGAR scores, blood loss and maternal stay in hospital. The surgical technique of intrapartum defibulation was easy and no intraoperative complications occurred.

CONCLUSIONS: Intrapartum defibulation is simple and safe, but sensitivity to the cultural issues involved is essential. In the longer term, continuing efforts should be directed towards abandoning female genital mutilation altogether.

This article can be accessed in this LINK.