The Female Genital Cut and Its Many Faces
There are a number of types of FGM 'surgical operations' practiced in Sub-Saharan Africa in countries that include Egypt, Sudan, Somalia, Ethiopia, Kenya and Chad. Degrees of mutilation range from excision of the hood of the clitoris or clitoris itself to complete infibulation. Infibulation involves removal of the clitoris, labia minora and labia majora, leaving a small opening for the passage of urine and menstrual blood.
These Mutilating, Surgical Types Include:
Type I - (Sunna Circumcision) - excision of the prepuce, with or without excision of part or the entire clitoris.
Type II- (Clitoridectomy) - excision of the clitoris with partial or total excision of the labia minora;
Type III - (Infibulation a.k.a. Pharaonic Circumcision) -excision of part or all of the external genitalia and stitching or narrowing of the vaginal opening. This is the most severe and it involves the removal of all or part of the external genitalia, leaving only a small opening for urine and menstruation. The cutting usually takes place between the ages of 4 and 12. A 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 (just imagine the gory details!!). She may be sewn up again if her husband leaves on a long trip.
Type IV –
• pricking, piercing or incising of the clitoris and/or labia;
• stretching of the clitoris and/or labia;
• cauterization by burning of the clitoris and surrounding tissue;
• scraping of tissue surrounding the vaginal orifice (angurya cuts) or cutting of the vagina (gishiri cuts);
• introduction of corrosive substances or herbs into the vagina to cause bleeding or for the purpose of tightening or narrowing it.
The most common type of female genital mutilation is excision of the clitoris and the labia minora, accounting for up to 80% of all cases; the most extreme form is infibulation, which constitutes about 15% of all procedures.
These Mutilating, Surgical Types Include:
Type I - (Sunna Circumcision) - excision of the prepuce, with or without excision of part or the entire clitoris.
Type II- (Clitoridectomy) - excision of the clitoris with partial or total excision of the labia minora;
Type III - (Infibulation a.k.a. Pharaonic Circumcision) -excision of part or all of the external genitalia and stitching or narrowing of the vaginal opening. This is the most severe and it involves the removal of all or part of the external genitalia, leaving only a small opening for urine and menstruation. The cutting usually takes place between the ages of 4 and 12. A 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 (just imagine the gory details!!). She may be sewn up again if her husband leaves on a long trip.
Type IV –
• pricking, piercing or incising of the clitoris and/or labia;
• stretching of the clitoris and/or labia;
• cauterization by burning of the clitoris and surrounding tissue;
• scraping of tissue surrounding the vaginal orifice (angurya cuts) or cutting of the vagina (gishiri cuts);
• introduction of corrosive substances or herbs into the vagina to cause bleeding or for the purpose of tightening or narrowing it.
The most common type of female genital mutilation is excision of the clitoris and the labia minora, accounting for up to 80% of all cases; the most extreme form is infibulation, which constitutes about 15% of all procedures.