Female Genital Mutilation (FGM) in
Africa, the Middle East & Far East
Where, why, what, and how it is done
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Summary:
Female Genital Mutilation (FGM) is a destructive, invasive procedure that is usually
performed on girls before puberty. Part or all of the clitoris is surgically removed. This
leaves them with reduced or no sexual feeling. Orgasms are sometimes impossible to
experience later in life. Many health problems result from the surgery.
FGM originated in Africa. It was, and remains, a cultural, not a religious practice.
Among individuals and groups opposed to the mutilation, it is seen as a method of
reducing the sexual response of women in order to make them less likely to become sexually
active before marriage or to seek an extra-marital affair after marriage.
To some who promote the operation, it is seen as a cultural requirement that has health
benefits and makes women more physically beautiful. These views are not shared by the rest
of the world.
The operation is forced on approximately 6,000 girls per day, worldwide -- about one
every 15 seconds. Since FGM is practiced when the girls are young, they are unable to give
their informed consent.
FGM: A cultural not a religious practice:
This mutilating operation is often associated mainly with the religion of Islam. This is incorrect. FGM is primarily a social practice, not a
religious one. Female genital mutilation predated Islam. It originated in Africa and
remains today a mainly African cultural practice. Some indicators of this are:
It is widely practiced in countries where the predominant religion is Christianity:
Examples are Ethiopia and Kenya.
In multi-faith countries, it is often forced on girls whose families follow all
faiths: Animism religions, Christianity, and Islam. For example, it is frequently
practiced among both Muslims, Christians and Animists in Ethiopia, Eritrea, Sierra Leone, and Sudan.
1
FGM was once practiced
by Ethiopian Jews (a.k.a. Beta Isreal; formerly known by the
derogatory term "Falashas"). 2, 3, 4.5 This
practiced was apparently discontinued some time ago. A pediatrician
who works in the Beta Israel community claims that they no do not
practice FGM in Israel. Also, their daughters who were born in
Ethiopia were not mutilated. 6
FGM has spread to countries in or near Africa (e.g. Egypt) which are Muslim. But FGM is
rare or nonexistent in many other Muslim countries. Examples are Iran, Jordan, Lebanon,
Syria, and Turkey. Also, It is not done in the Maghreb countries of Northwest Africa.
FGM is only occasionally found in Indonesia and other predominately Muslim countries in
Asia.
One of the motivations for this essay is the misperception by many people that the
practice is a religious one. That belief has led to unjustified religious intolerance
against Muslims.
Female Genital Mutilation (FGM) is practiced in many forms. In order of
increasing severity, they are:
Type 1: Sunna circumcision in which the prepuce (the clitoral
covering) is removed, along with part or all of the clitoris. This is called
Clitoridectomy, Sunna, meaning removal of the clitoris in the
tradition of the Prophet Mohammed. It is called "Sunna Kashfa" (Open
Sunna) in Sudan. This is found most commonly in West African countries like
Burkina Faso, Mali, Nigeria, and Senegal.
Type 2: Excision: The entire clitoris and prepuce are
removed, along with all or part of the
labia minora. This is called "Sunna Magatia" (Closed Sunna) in Sudan. It is most
commonly found in Burkina Faso and Sudan.
Type 3: Infibulation (a.k.a. Pharaonic circumcision.
This involves removal of the clitoris and prepuce, followed by sewing up of the
vulva. A small opening is left to allow urine and menstrual blood to pass. 7A second operation is done later in life to reverse some of the
damage. In some cultures, the woman is cut open by her husband on their wedding night with
a double edged dagger. She may be sewn up again if her husband leaves on a long trip.
This is often referred to as Pharaonic or Sudanese circumcision. It is most
commonly practices in Djibouti, Egypt, Eritrea, Ethiopia, Gambia, Mali,
Somalia and Sudan. 10
There are also various other practices, including stretching of the clitoris
and/or labia, burning of the clitoris and adjacent tissues by cauterisation,
scraping of the vaginal orifice, cutting the vagina, placing corrosive
substances or herbs in the vaginal in order to tighen it, etc.
Because of poverty and lack of medical facilities, the procedure is
frequently done under less than hygienic conditions, often by non-medically
trained personnel, and usually without anesthesia. Razor blades, knives or
scissors are usually the instruments used.
In the rural Mossi areas of Burkina Faso, group female circumcisions are
scheduled every three years in many villages. Girls aged from 5 to 8 are assembled by
their mothers into groups of up to 20. The circumcision "uses a knife-like
instrument, the barga, reserved specifically for this purpose; after each operation she
simply wipes the knife on a piece of cloth, sometimes rinsing it in water first."8 In some areas of Africa, FGM is delayed until two
months before a woman gives birth. This practice is based on the belief that the
baby will die if she/he comes into contact with their mother's clitoris during
birth. We are unaware of any medical evidence to support this belief. Other
areas perform FGM on infants before their first birthday, or in adolescence.
Side effects of the operation can include: hemorrhage, shock, painful scars, keloid
formation, labial adherences, clitoral cysts, chronic urinary infection, and chronic
pelvic infections. Later in life, it can cause kidney stones, sterility, sexual
dysfunction, depression, and various gynecological and obstetric problems.
In which countries is it practiced?
Unfortunately, few statistical studies have been made; only rough estimates are
available of the frequency with which FGM is performed. In some countries, the practice is
near universal. One source 1 estimates that 90% or more of the
girls in Djibouti, Ethiopia and Eritrea, Sierra Leone, Somalia, and Sudan (North) have
been mutilated. The same source indicates that over 50% of the girls in Benin, Burkina
Faso, Central African Republic, Chad, Côte d'Ivoire, Egypt, Gambia, Guinea, Guinea
Bissau, Kenya, Liberia, Mali, Nigeria and Togo have been operated on. The FGM
Education and Networking Project maintains a
regularly updated list of
countries, population groups, and the types of operation performed. There are over 30
million mutilated women currently living in Nigeria, and about 24 million in Ethiopia and
Eritrea. Various groups estimate that from 114 to 130 million women worldwide have had
the operation. FGM is outlawed in some countries where it had been widely practiced, such
as Kenya and Senegal. It is criminalized in some western countries, where it is normally
practiced only by a small number of recent immigrants.
The procedure has been banned in several African nations, including Burkina Faso,
Djibouti, the Central African Republic, Ghana, Guinea, Senegal, and Togo.
9
Why it is Done?
The justification for the operation appears to be largely grounded in a desire to
terminate or reduce feelings of sexual arousal in women so that they will be much less
likely to engage in pre-marital intercourse or adultery. The clitoris holds a massive
number of nerve endings, and generates feelings of sexual arousal when stimulated.
Parents in those cultures where FGM is common often feel that it is the only
way to guarantee that their girl children will remain "pure" until marriage.
This belief is so strong that it can overcome the dangers to the girls: some do
not survive the blood loss during the operation; others die from infection; most
suffer life-long complications.
Uncircumcised women in countries where FGM is normally performed have difficulty
finding a marriage partner. Men typically prefer a circumcised wife because they are
considered more likely to be faithful. Other claims in support of FGM are:
The clitoris is dangerous and must be removed for health reasons. Some believe that it
is a poisonous organ, that can cause a man to sicken or die if contacted by a man's penis.
Others believe that men can become impotent by contacting a clitoris, or that a baby will
be hydrocephalic (born with excess cranial fluid) if its head contacts the clitoris during
birth. Some believe that the milk of the mother will become poisonous if her clitoris
touches the baby during childbirth.
Bad genital odors can only be eliminated by removing the clitoris and labia minora.
FGM prevents vaginal cancer.
An unmodified clitoris can lead to masturbation or lesbianism.
FGM prevents nervousness from developing in girls and women.
FGM prevents the face from turning yellow.
FGM makes a woman's face more beautiful.
If FGM is not done, older men may not be able to match their wives' sex drive and may
have to resort to illegal stimulating drugs.
An intact clitoris generates sexual arousal in women which can cause neuroses if
repressed.
These claims appear to have little or no support outside of countries where FGM is common.
The fear of AIDS has been used by both sides of this issue. Shiek Badri stated in
1997-JUN: "Those who are not circumcised get AIDS easily" But opponents
to the practice note that AIDS is spread by unhygienic practices normally
present during the
procedure itself.
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References used:
Many of the web sites referenced in the preparation of his essay have already
gone offline.
Sami A. ALDEEB ABU-SAHLIEH, "To Mutilate in the Name of Jehovah or Allah:
Legitimization of Male and Female Circumcision" Available on line at: http://www.hollyfeld.org/fgm/refer/mutilate.html
Research, Action and Information Network for Bodily Integrity of Women
(RAINBO)
specializes in programs to eliminate FGM. They list many books and reports for sale at low
prices. They also loan videos. See: http://www.rainbo.org/
Sami A. Aldeeb Abu-Sahleih, "To Mutilate in the Name of Jehovah or
Allah," at: http://almashriq.hiof.no/
Wolf Leslau, "Coutumes et croyances des Falachas (Juifs d'Abyssinie),"
Institut d'Ethnographie, Paris, (1957), Page 93.
The Female Genital Mutilation Research Homepage contained a complete review of
FGM. The web site appears to have been abandoned.
B. Taverne, "Ethics and communication strategy: female circumcision and AIDS in
Burkina Faso", (1996). On line at: http://melusine.mpl.orstom.fr/
Also offline
"28 on trial in France for female genital mutilation,"
Reuters, 1999-FEB-2
Sophie Poldermans, "Combating Female Genital Mutilation in Europe," Page 50,
at:
www.stopfgm.net/ This is a PDF file.