Clitoral Therapy Device for Alleviating Sexual Dysfunction After Female Genital Mutilation: Randomized Controlled Trial.

Q2 Medicine
Hend Reda Sakr, Yahia Ali Ahmed, Reham Mohamed Kamel, Reem Hamdy Abdelhady, Reham Alaa Elkalla, Mina Atef Georgui, Wael Osama Abd El-Khalek, Mariam Hossam El Ebrashy
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Abstract

Background: Female genital mutilation is considered a crime but is still practiced today in Africa and the Middle East, despite all the laws that make this procedure illegal due to the long-term physical and psychological harm it causes to women. Millions of girls and women living today have undergone genital mutilation, which involves removing the external female genitalia either partially or totally, based on the belief that it restricts feminine sexuality, thereby "saving" a girl for marriage. For girls and women, the surgery offers no health advantages. Girls' right to control critical decisions regarding their sexual and reproductive health is violated because genital mutilation is frequently done against their will and frequently without their consent, leading to lifelong psychic trauma in addition to sexual dysfunction and lack of satisfaction due to distortion of the genitalia that threatens marital stability.

Objective: To determine the effect of a clitoral therapy device on improving sexual domains in women suffering from sexual dysfunction after female genital mutilation.

Methods: This study examined 80 married women aged from 20 to 45 years who were referred from the gynecology outpatient clinic of the Faculty of Medicine, Suez University, for sexual dysfunction resulting from female genital mutilation. The women were divided into 2 equal groups: the study group received a clitoral therapy device and traditional psychosexual education and were closely followed for 3 months, while the control group received only traditional psychosexual education for 3 months. The Arabic version of the Female Sexual Function Index (FSFI) questionnaire was used to assess sexual outcomes pre- and posttreatment in the 2 groups.

Results: Our findings revealed a significant increase in the 6 domains of the FSFI pretreatment in both groups compared to posttreatment (P>.001), except the orgasm domain in the control group, which showed only a nonsignificant increase (P=.16).

Conclusions: Clitoral therapy devices may be an effective, safe, noninvasive rehabilitation method for sexual dysfunction following female genital mutilation.

Trial registration: ClinicalTrials.gov NCT05039775; https://clinicaltrials.gov/ct2/show/NCT05039775.

Abstract Image

缓解女性生殖器切割后性功能障碍的阴蒂治疗装置:随机对照试验。
背景:切割女性生殖器官被认为是一种犯罪,但今天在非洲和中东仍然存在,尽管所有的法律都规定这一程序是非法的,因为它会对妇女造成长期的身心伤害。今天生活的数百万女孩和妇女经历了生殖器切割,其中包括部分或全部切除外部女性生殖器,理由是认为这限制了女性的性行为,从而“挽救”了女孩的婚姻。对女孩和妇女来说,这种手术没有任何健康益处。女孩控制有关其性健康和生殖健康的关键决定的权利受到侵犯,因为切割生殖器的行为往往违背她们的意愿,往往未经她们的同意,除了性功能障碍和由于生殖器扭曲而威胁到婚姻稳定而缺乏满足感之外,还导致终生的精神创伤。目的:探讨阴蒂治疗装置对女性外阴残割术后性功能障碍患者性领域的改善作用。方法:本研究调查了苏伊士大学医学院妇科门诊因切割女性生殖器官而导致性功能障碍的80名年龄在20至45岁的已婚妇女。将女性分为两组,实验组接受阴蒂治疗仪和传统性心理教育,随访3个月,对照组仅接受传统性心理教育,随访3个月。采用阿拉伯语版女性性功能指数(FSFI)问卷评估两组患者治疗前后的性结局。结果:我们的研究结果显示,与治疗后相比,两组的FSFI预处理的6个域均有显著增加(P> 0.001),但对照组的性高潮域仅显示无显著增加(P= 0.16)。结论:阴蒂治疗装置可能是一种有效、安全、无创的女性生殖器切割后性功能障碍康复方法。试验注册:ClinicalTrials.gov NCT05039775;https://clinicaltrials.gov/ct2/show/NCT05039775。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
31
审稿时长
12 weeks
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