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FEMALE GENITAL MUTILATION / CUTTING
Lawrenceville, NJ (Dr Simone) – Female genital mutilation/cutting has been done for centuries in 27 countries in sub-Saharan and Northeast Africa, and to a lesser extent in Asia, and the Middle East. It is defined by the World Health Organization as “all procedures that involve partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons.” It is done with or without anesthesia by a traditional circumciser using a knife or razor. The age of the girls varies from weeks after birth to puberty; in half the countries for which figures were available in 2013, most girls were cut before the age of five.
The practice involves: removal of all or part of the clitoris and clitoral hood; all or part of the clitoris and inner labia; or all or part of the inner and outer labia and the fusion of the wound leaving a small hole for the passage of urine and menstrual blood, and the wound is opened later up for intercourse and childbirth. Complications include recurrent infections, chronic pain, infertility, cysts, complications during childbirth and fatal bleeding, and multiple emotional problems.
The United Nations estimates that female genital mutilation/cutting has been done on more than 125 million girls and women with a high prevalence in Somalia (98%), Guinea (96%), Djibouti (93%), Egypt (91%), Eritrea (89%), Sudan (88%), and Sierra Leone (88%). Complete listing at http://www.thelancet.com/…/PIIS0140-6736(13)61532…/fulltext…
US bureaucrats squander hundreds of millions of dollars with a foreign company on a web site that does not work. Some super rich are self-proclaimed medical/public health “authorities” and try to tell us what is best for us without seeking advice from qualified medical professionals. And while all this intrusive folly goes on, as many as 30 million girls are still at risk of female genital mutilation/cutting in the next decade if current trends continue.
(c) 2017 Charles B. Simone, M.MS., M.D.