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Impacts of Female Genital Mutilation on the Quality of Life of Women in Africa

Introduction

Female genital mutilation (FGM), otherwise called female genital cutting or female circumcision, is a cruel and significantly established practice that influences many ladies and young ladies worldwide, especially in Africa. The training includes the fractional or all-out evacuation of the outer female genitalia for non-clinical reasons. It has extreme physical and mental ramifications for the individuals who go through it. FGM is often done on young ladies between the ages of 4 and 14, yet it can likewise be performed on babies and grown-up ladies (Geynisman-Tan et al., 2019). It is typically performed by traditional practitioners using knives, scissors, razor blades, or other crude instruments without anesthesia or sterilization. The procedure is usually carried out in unsanitary conditions, which can increase the risk of infection and other complications.

Prominent Perceptions on the Practice of FGM in African Countries

In most African cultures, female genital mutilation (FGM) is received with various attitudes and responses. Regarding female genital mutilation, diverse viewpoints exist. Others consider it nothing more than a superstitious belief that helps them maintain their virginity and feel pure. Still, others consider it a fundamental aspect of their culture that must be maintained (Skaine, 2005). Many young women opt to remain sexually chaste before marriage to improve their sociosexual outlook, increase their fertility, and expand their marriage possibilities (Geynisman-Tan et al., 2019). In some cultures, female circumcision is highly regarded because it lessens the risk of maternal mortality during childbirth and because an uncircumcised woman cannot inherit property.

Cultural and Social Perceptions

As evidenced by studies and first-hand experiences from Africa, female genital mutilation (FGM) has various varied and, in some locations, compelling justifications. It is essential to note that different communities have different FGM practices despite being based on some common themes, such as the preservation of family honor, the promotion of health, the prospect of marriage, and the position of women within the community. It is customary to present these arguments to emphasize that they are good attributes while downplaying their negative ones to strengthen the social-cultural worldview (Skaine, 2005). This ensures that the arguments support the perspective. In many African and Middle Eastern societies where female genital mutilation (FGM) is practiced, marriage is required for a girl to be deemed eligible for a partner. In Africa, female genital mutilation (FGM) is influenced by multiple factors, including poverty and the relative value of women and families. In Sierra Leonean culture, female genital mutilation (FGM) is a rite of passage, and refusal results in social and community isolation. To safeguard their and their family’s honor, parents feel they have no choice but to expose their daughters to this. Therefore, it is regrettable that parents must subject their daughters to this, but they have no option. Due to their parents’ support, these children will succeed, and their family’s achievements will be acknowledged (Skaine, 2005). Female genital mutilation (FGM) is a social and tribal status symbol in civilizations that practice it.

Consequently, women and their families in these regions will have a more prominent societal position. This provides weight to the Tanzanian Arusha and Chagga’s long-held belief that circumcised girls make better wives. FGM/C is a painful and unsuccessful method of enforcing the convention that a girl’s virginity is a prerequisite for marriage in traditional African communities, where virginity is commonly a prerequisite for marriage. This practice originates in Nigeria, where the mother-in-law uses female genital mutilation to check the bride’s virginity before the wedding (FGM) (Skaine, 2005). It is argued that female genital mutilation (FGM) shields young women from the shame and embarrassment associated with sexual engagement. In addition, in places such as Somalia and Sudan, infibulation is conducted on young women because it enhances physical beauty and personal hygiene.

Religious Perception

Numerous investigations and scientific works have demonstrated that female genital mutilation (FGM) has no theological basis, contradicting the assertions of some Islamic organizations that FGM is a Sunna-based practice. This fact has been validated by the passage of time. However, no scripture in the Koran has been found to legitimize the circumcision of the female external genitalia, although the practice is more prevalent among Muslims from Sudan and Nubia, where it predates Islam (Skaine, 2005). Most Muslims worldwide do not conduct FGM on women. Residents of adjacent African-Islamic countries, such as Tunisia, Morocco, Libya, and Algeria, exhibit the same absence of symptoms as those of Saudi Arabia.

Consequences of Female Genital Mutilation in Africa

The ongoing effort to abolish female genital mutilation (FGM) is not founded on a disagreement of opinion but on factual evidence of harm. Female genital mutilation has immediate and long-term psychological and physiological repercussions (FGM). In essence, the effects extend beyond those related to health, as trauma frequently disturbs the mental and psychological equilibrium of the victims (Skaine, 2005). The potential detrimental health effects of female genital mutilation (FGM) depend greatly on how the practice is carried out. For example, essential contaminations like urinary lot diseases, staphylococcus, dying, and unreasonable and wild agonies can be brought about by utilizing unsterilized gear and the shortfall of a medicine from a doctor to stay away from unfortunate results. Type 3 mutilation increases the incidence of severe infections such as HIV, clostridium tetani, herpes simplex virus type 2, Chlamydia trachomatis, and other related diseases in circumcised women. Due to the restricted access to healthcare in several African nations, these immediate effects would result in a rise in the death rate (Skaine, 2005). At least one out of every 500 girls who have undergone FGM die, despite a case-control study in Sudan disproving the widespread notion throughout numerous African civilizations that FGM protects females from sexually transmitted illnesses. Although the death rate among girls who have undergone FGM remains unknown, the aforementioned is accurate. According to the study’s findings, many victims continue to struggle in areas such as mental health, physical health, and childbirth long after their initial wounds have healed. This makes the consequences of the behavior considerably more severe than would be warranted by an appropriate exaggeration (Buggio et al., 2019). Research of pregnant, delivering, and postpartum women in Djibouti, Somalia, and Sudan found that female genital mutilation (FGM) is associated with an increase in maternal mortality and morbidity. These results are consistent with earlier studies confirming the harmful effects of FGM. According to studies, the high frequency of female genital mutilation (FGM) in the Gambia, Sudan, Egypt, Somalia, and Nigeria is connected with various adverse health outcomes (Skaine, 2005).

These include bacterial vaginosis, genital herpes, trichomonas, candidiasis, herpes simplex virus, and trichomonas. Infections, urinary symptoms, infertility, scarring, keloid development, menstruation disorders, and obstetric complications during pregnancy, childbirth, and postpartum are frequent causes of these health conditions (Piroozi et al., 2020). The development of keloid scar tissue over the cut region is one of the most detrimental long-term effects since it can cause the victim to feel afraid and ashamed of the scar. As a result of the compression of the nerves around the scar, neuromas can grow and cause discomfort, primarily upon touch. For instance, infibulated women have historically had a higher mortality rate following childbirth due to complications (Skaine, 2005). This is because infibulated women typically have lower life spans. Similarly, all included studies concluded that female genital mutilation (FGM) results in psychological, psychosocial, and psychosexual effects, despite the lack of sufficient high-quality evidence to support this conclusion. Numerous studies have demonstrated that social victimization can have severe implications, such as the development of PTSD, depression, and anxiety. Feelings of shame may play a role in the appearance of these indicators. According to the research of Behrendt and Moritz, 23 of the 47 Senegalese women who participated in the clinical interview to assess their mental health were former FGM recipients (FGM). The study was conducted in Senegal (Skaine, 2005). Psychological issues like amnesia (47.9%) and PTSD (30.4%) were thus particularly prevalent among women who had had FGM. Thus, circumcised women had a reduced prevalence of mental health concerns than non-circumcised women. Since the clitoris may be removed, female genital mutilation has also been associated with sexual dysfunction (Piroozi et al., 2020). However, research on sexual function after FGM are scarce, and when they do exist, they frequently lack control groups and accepted standardized questionnaires. This evidence could support a reasonable conclusion (Fox & Johnson-Agbakwu, 2020).

A study of 300 Sudanese women on the sexual experience and marital adjustment of females with FGM revealed adverse effects on their mental and emotional well-being. The primary focus of the research was the sexual and marital life of women who had undergone FGM (Skaine, 2005). In this study, we compare the findings of a meta-analysis based on the psychosocial analysis of Nigerian women with those of a narrative evaluation of the psychosexual consequences of this phenomenon. In both trials, all participants were Nigerian women. Female genital mutilation (FGM) victims are more likely to experience various psychological and physical health issues, according to studies (PTSD) (Fox & Johnson-Agbakwu, 2020). The subsequent review approved the impending results of female genital mutilation on emotional well-being, sexual behavior, and conjugal fulfillment (Skaine, 2005).

Remedial and exact exploration of the effects of female genital mutilation and cutting (FGM/C) has been broad. Given the need to carefully craft important messages to ensure proper interpretation and actionable advice, it is essential to communicate this evidence-based basis to diverse stakeholders based on these recommendations (Piroozi et al., 2020). This can be accomplished through training medical workers, increasing understanding, enhancing access to care, tracking incidences of FGM/C, and undertaking research on the subject. The healthcare system should be reformed to include a trustworthy referral system in places where experts may be rare To encourage remedial and preventative measures for FGM/C (Fox & Johnson-Agbakwu, 2020). This talent can be enhanced by supplementing existing programs. Female genital mutilation and cutting (FGM/C) programs firmly entrenched in existing healthcare systems and socio-community institutions may effectively address the issues experienced by girls and women who have been cut and reduce the prevalence of new cuts (Skaine, 2005). These challenges include the need for rehabilitative and preventative interventions to be developed and scaled up at the socio-community level to reduce the prevalence of cutting among girls and women.

The discoveries, which zeroed in on the social, monetary, and to some degree, strict convictions around the strategy, give a decent sign of the most probable justification for the steadiness of FGM over all of Africa. The discoveries give essential knowledge into the assessments of African ladies on the issue of female genital mutilation (FGM) in their nations, as they recommend the most sensible clarification for the training. It is hardly unexpected that the practice endures despite global efforts to eradicate it. Because they fear persecution or social isolation if they do not comply, mothers legally responsible for keeping their children safe voluntarily submit their daughters to this destructive tradition. Due to the frequency of this horrific act against women, the accompanying culture, beliefs, and misunderstandings must be refuted to disseminate sufficient knowledge. This is because of the connection between the training and the training. This exploitation presents worries about the existence of circumcised ladies, which should be visible according to various points of view, including gynecology, brain research, social brain science, and psychosexuality. Further down the road, these ladies were bound to encounter gynecological, mental, social, and sexual issues. Female genital mutilation (FGM) is an old practice that advances and keeps up with orientation imbalance. It imperils ladies by improving their probability of experiencing different possibly destructive outcomes and further damages (Shakira et al., 2020). The past review has exhibited that the predominance of female genital mutilation (FGM) can be diminished by expanding public attention to the dangers of the medical procedure and, all the more critically, by enabling ladies to utilize far-reaching young lady kid instruction. During the [circumcision] rite, women’s genitalia is typically removed. Efforts are required immediately on multiple fronts to combat this restrictive cultural norm. This can be achieved in different ways, including making FGM unlawful, furnishing casualties with sufficient clinical and mental consideration, and enrolling customary and strict forerunners in crusades against the training and endeavors to nullify FGM.

When the surgery initially gained widespread attention, the term “female circumcision” was frequently used to describe it. This term often refers to female genital mutilation of type. Medical practitioners in many Eastern and Southern African countries recommend male circumcision to reduce the chance of HIV transmission, even though FGM has been shown to increase the likelihood of HIV infection (Mbanya et al., 2020). There is broad consensus that this expression trivializes the emotionally and physically painful effects of female genital mutilation. This practice is referred to as “female genital mutilation” by several NGOs concerned about women’s health and human rights. Additionally, it has been utilized as a weapon in political discourse and policymaking. The member states specified in Resolution 65/170 that this damaging practice shall be referred to as “female genital mutilation.” The term “female genital cutting” was first popularized in the late 1990s as a reaction to the discomfort caused by the term “female genital mutilation.” Some individuals are concerned that “mutilation” would convey the wrong message, mainly if it implies that the parents or practitioners involved are malevolent. Others are concerned that referring to the practice as “female genital mutilation” may anger those who still indulge in it or, worse, may provoke a backlash that will lead to an increase in the number of girls mutilated.

Conclusion

To effectively minimize female genital mutilation, community-based, all-encompassing activities involving human rights education at all levels are essential (FGM). This would change how individuals communicate in the African people group, conceivably prompting the finish of female genital mutilation (FGM) and empowering the leftover individuals from the populace to start weddings among themselves rapidly. Accordingly, the predominance of female genital mutilation (FGM) in Africa would lessen, and the exchange would change. Female genital mutilation (FGM) may have variable aftereffects depending on various conditions. Factors include the type of FGM, the practitioner’s experience level, the treatment environment’s cleanliness, the patient’s level of resistance, and the patient’s overall health. All types of female genital mutilation (FGM) entail the risk of consequences, with infibulation being the most prevalent. Urine retention, vaginal ulcers that cause tissue damage, wound infections, urinary tract infections, fever, and septicemia are all acute, life-threatening conditions. Several imminent dangers include extreme pain, shock, bleeding, tetanus, and infection. In life-threatening situations, both bleeding and infection provide a mortality risk. Due to the condition, women with infibulation cannot conceive or engage in sexual activity. Before sexual activity may occur between two partners, the infibulated woman’s vaginal aperture must first become accessible. Many women must have their vaginal openings reopened during childbirth because they are insufficient for the passage of a newborn. Infertility, fistulas, persistent bladder and urinary tract infections, menstruation, and urine issues are all linked to infibulation.

References

Buggio, L., Facchin, F., Chiappa, L., Barbara, G., Brambilla, M., & Vercellini, P. (2019). Psychosexual consequences of female genital mutilation and the impact of reconstructive surgery: a narrative review. Health Equity3(1), 36-46.

Fox, K. A., & Johnson-Agbakwu, C. (2020). Crime victimization, health, and female genital mutilation or cutting among Somali women and adolescent girls in the United States, 2017. American journal of public health110(1), 112-118.

Geynisman-Tan, J., Milewski, A., Dahl, C., Collins, S., Mueller, M., Kenton, K., & Lewicky-Gaupp, C. (2019). Lower urinary tract symptoms in women with female genital mutilation. Female Pelvic Medicine & Reconstructive Surgery25(2), 157-160.

Mbanya, V. N., Terragni, L., Gele, A. A., Diaz, E., & Kumar, B. N. (2020). Barriers to access to the Norwegian healthcare system among sub-Saharan African immigrant women exposed to female genital cutting. PloS one15(3), e0229770.

Piroozi, B., Alinia, C., Safari, H., Kazemi-Karyani, A., Moradi, G., Farhadifar, F., … & Azadnia, A. (2020). Effect of female genital mutilation on mental health: a case–control study. The European Journal of Contraception & Reproductive Health Care25(1), 33-36.

Shakirat, G. O., Alshibshoubi, M. A., Delia, E., Hamayon, A., & Rutkofsky, I. H. (2020). An overview of female genital mutilation in Africa: are the women beneficiaries or victims?. Cureus12(9).

Skaine, (2005). Female genital mutilation, legal, cultural and medical issues. McFarland

 

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