The ‘heat’ goes away: sexual disorders of married women with female genital mutilation/cutting in Kenya

نویسندگان

  • Tammary Esho
  • Samuel Kimani
  • Isaac Nyamongo
  • Violet Kimani
  • Samuel Muniu
  • Christine Kigondu
  • Patrick Ndavi
  • Jaldesa Guyo
چکیده

BACKGROUND Female genital mutilation/cutting (FGM/C) has been implicated in sexual complications among women, although there is paucity of research evidence on sexual experiences among married women who have undergone this cultural practice. The aim of this study was to investigate the sexual experiences among married women in Mauche Ward, Nakuru County. METHODS Quantitative and qualitative data collection methods were used. Quantitative data were obtained from 318 married women selected through multistage sampling. The women were categorized into: cut before marriage, cut after marriage and the uncut. A questionnaire was used to collect demographic information while psychometric data were obtained using a female sexual functioning index (FSFI) tool. The resulting quantitative data were analyzed using SPSS® Version 22. Qualitative data were obtained from five FGDs and two case narratives. The data were organized into themes, analyzed and interpreted. Ethical approval for the study was granted by Kenyatta National Hospital-University of Nairobi Ethics and Research Committee. RESULTS The mean age of the respondents was 30.59 ± 7.36 years. The majority (74.2%) had primary education and 76.1% were farmers. Age (p = 0.008), number of children (p = 0.035) and education (p = 0.038) were found to be associated with sexual functioning. The cut women reported lower sexual functioning compared to the uncut. ANOVA results show the reported overall sexual functioning to be significantly (p = 0.019) different across the three groups. Women cut after marriage (mean = 22.81 ± 4.87) scored significantly lower (p = 0.056) than the uncut (mean = 25.35 ± 3.56). However, in comparison to the cut before marriage there was no significant difference (mean = 23.99 ± 6.63). Among the sexual functioning domains, lubrication (p = 0.008), orgasm (p = 0.019) and satisfaction (p = 0.042) were significantly different across the three groups. However, desire, arousal and pain were not statistically different. CONCLUSION Generally, cut women had negative sexual experiences and specifically adverse changes in desire, arousal and satisfaction were experienced among cut after marriage. FGM/C mitigating strategies need to routinely provide sexual complications management to safeguard women's sexual right to pleasure subsequently improving their general well-being.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Clitoral keloids after female genital mutilation/cutting

We aimed to describe the presentation of long-term complications of female genital mutilation/cutting and the surgical management of clitoral keloids secondary to female genital mutilation/cutting. Twenty-seven women who underwent surgery because of clitoral keloid between May 2014 and September 2015 in Sudan Nyala Turkish Hospital were evaluated in this retrospective descriptive case series st...

متن کامل

Female genital mutilation (FGM) and sexual functioning of married women in Oworonshoki Community, Lagos State, Nigeria

This article examines the nexus between Female Genital Mutilation (FGM) and three thematic/fundamental areas of women sexual functioning in the study location. These thematic areas are women’s sexual desire/initiation, sexual activity and sexual satisfaction/enjoyment. To achieve the objectives of the study, a cross-sectional survey research method was adopted and 350 questionnaires were admini...

متن کامل

The Nexus between Female Genital Mutilation and Child Marriage in Nigeria: A Cultural Inhibition to Achieving Sustainable Development Goals

The world leaders agreed to make the world a better place by year 2030 through the Sustainable Development Goals and targets. This however cannot be achieved in Nigeria except we are proactive about some cultural practices that negatively affect the girl child.  Child Marriage and Female Genital Mutilation/Cutting (FGM/C) are two deep-rooted Harmful Traditional Practices (HTPs) that have prevai...

متن کامل

Impact of Women Circumcision on Mental Health

Female genital mutilation / cutting is a damaging traditional procedure, that affects the psychosomatic wellbeing of women and girls all over the world. It has short-term and long-term of psychological, sexual and physiological effects on women. The objective of current study was to measure the mental health of circumcised women and compare them with noncircumcised women in Kurdistan province o...

متن کامل

Egyptian women's attitudes and beliefs about female genital cutting and its association with childhood maltreatment.

This study aimed to establish Egyptian women's attitudes and beliefs about female genital cutting (FGC) or mutilation by applying a questionnaire module about violence to a subsample of 5,249 married women from a total of 19,474 women who participated in the 2005 Egypt Demographic Health Survey. Women were interviewed to determine if they had been exposed to marital violence in the year prior t...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 14  شماره 

صفحات  -

تاریخ انتشار 2017