Sexual quality of life in women who have undergone female genital mutilation: a case–control study

Authors


Dr SHA Andersson, Department of Anaesthesia, Trafford Hospitals, Central Manchester University Hospitals NHS Foundation Trust, Moorside Road, Davyhulme, Manchester, M41 5SL, UK. Email: stefan.andersson@nhs.net

Abstract

Please cite this paper as: Andersson S, Rymer J, Joyce D, Momoh C, Gayle C. Sexual quality of life in women who have undergone female genital mutilation: a case–control study. BJOG 2012;119:1606–1611.

Objective  To investigate the sexual quality of life of women who have undergone female genital mutilation (FGM) and compare them with a similar group who has not undergone FGM.

Design  Case–control study.

Setting  A large central London teaching hospital.

Population  A total of 73 women who had undergone FGM and 37 control women, who had not undergone FGM but were from a similar cultural background where FGM is practiced.

Methods  The women completed a questionnaire containing the Sexual Quality of Life-Female (SQOL-F) questionnaire.

Main outcome measures  SQOL-F score.

Results  Women who have undergone FGM of any type have a significantly lower (P < 0.001) overall SQOL-F score than control women (mean = 62.44, SD = 27.93 versus mean = 88.84, SD = 13.73). Women who were sexually active and had undergone FGM type III differed the most from sexually active controls (< 0.05) in their SQOL-F score. Women who were sexually inactive but who had undergone FGM reported significantly lower overall SQOL-F scores (P = 0.015) than sexually inactive controls, but were not differentiated by type of FGM.

Conclusion  FGM significantly reduces women’s sexual quality of life, based on the results of the SQOL-F questionnaire.

Ancillary