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Review article: Biomedical intelligence

Vol. 141 No. 0102 (2011)

Care of women with female genital mutilation/cutting

  • J Abdulcadir
  • C Margairaz
  • M Boulvain
  • O Irion
Cite this as:
Swiss Med Wkly. 2011;141:w13137


In multi-ethnic European society medical professionals are faced with an increasing number of women originating from countries where female genital mutilations/cuttings (FGM/C) are practised. Recent studies, however, emphasise the lack of knowledge on this subject. This review article aims to present FGM/C as a complex socio-healthcare and multidisciplinary issue, outlining the definition, classification, epidemiology and anthropologico-legal aspects of FGM/C. It explains the approach to be adopted to FGM/C women, focusing on defibulation, clitoral restoration/repair and re-infibulation. Finally, it reports on the discussions surrounding pricking/nicking and the proposals for alternative rituals in recent years.


  1. Eliminating Female genital mutilation – An interagency statement (OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO), WHO. 2008.
  2. Female Genital Mutilation/female genital cutting: a statistical report. New York, UNICEF. 2005.
  3. World Health Organization. Management of pregnancy, childbirth and the postpartum period in the presence of female genital mutilation. Report of a WHO technical consultation. Geneva: October 15–17, 1997. Department of Gender, Women and Health. Department of Reproductive Health and Research Family and Community Health World Health Organization. 2001.
  4. Thierfelder C, Tanner M, Bodiang CM. Female genital mutilation in the context of migration: experience of African women with the Swiss health care system. Eur J Public Health. February 2005.
  5. Grassivaro Gallo P, Viviani. Alle radici delle Modificazioni Etniche dei Genitali Femminili. In: Corpi e simboli. Immigrazione sessualità e mutilazioni genitali femminili in Europa. a cura di Morrone A., Vulpiani P. Armando Editore Press. 2005.
  6. Pasquinelli C. Infibulazione. Il corpo violato Meltemi Editore, Roma. 2007.
  7. Catania L, Abdulcadir OH. Ferite per sempre. Le mutilazioni genitali femminili e la proposta del rito simbolico alternativo. Derive e Approdi. Roma 2005.
  8. Gruenbaum E. Socio-cultural dynamics of female genital cutting: Research findings, gaps, and directions. Cult Health Sex. 2005.
  9. Ahmadu F. Rites and wrongs: An insider/outsider reflects on power and excision. In: Shell-Duncan B, Hernlund Y, eds. Female circumcision in Africa: Culture, controversy, and change. London: Lynne Rienner Publishers. 2000.
  10. Catania L. Female Circumcision and the Orgasm Puzzle. [Personal Presentation]. 11th Annual Meeting American Anthropological Association. San Francisco. California, 19th–23rd November 2008.
  11. Moscardi S. Diritto Penale e Multiculturalismo. Il divieto delle pratiche di mutilazione degli organi genitali femminili. Tesi di Laurea in Diritto Penale. Facoltà di Giurisprudenza. Università degli Studi di Firenze. AA 2008–09.
  12. Botti Federica, Manipolazioni del corpo e mutilazioni genitali femminili, Bologna, Bonomia University Press, 2009.
  13. Krása K. Human rights for women: the ethical and legal discussion about Female Genital Mutilation in Germany in comparison with other Western European countries. Med Health Care Philos. April 2010.
  14. Rapport de la Commission des affaires juridiques du Conseil national. Initiative parlementaire. Réprimer explicitement les mutilations sexuelles commises en Suisse et commises à l’étranger par quiconque se trouve en Suisse. Avril 2010.
  15. Hohlfeld P, Thierfelder C, Jäger F(pour le groupe de travail MGF). Mutilations génitales féminines. Recommandations suisses à l’intention des professionnels da la santé. Schweizerische Ärztezeitung / Bulletin des médecins suisses / Bollettino dei medici svizzeri Nr 16. 2005.
  16. Trechsel S, Schlauri R. Les mutilations génitales féminines en Suisse, expertise juridique commandée par UNICEF. Zurich: Comité Suisse pour l’Unicef. 2004.
  17. Niggli MA, Berkemeier A. La question de la punissabilité de la mutilation génitale féminine des types I et IV, expertise juri-dique commandée par UNICEF. Zurich: Comité Suisse pour l’Unicef. 2007.
  18. Code Pénal Suisse.
  20. dung_seiner_tochter_verurteilt_1.769848.html
  21. Poldermans S. Combating Female Genital Mutilation in Europe, A Comparative Analysis of Legislative and Preventative Tools in the Netherlands, France, the United Kingdom, and Austria. Master of Law European Master’s Degree in Human Rights and Democratisation Academic year 2005/2006
  22. Abdulcadir J, Orlando V. La promozione della salute delle donne con mutilazioni. Io Uomo. Dicembre 2009.
  23. Rouzi AA. Epidermal clitoral inclusion cysts: not a rare complication of female genital mutilation. Hum Reprod. 2010.
  24. WHO study group on female genital mutilation and obstetric outcome, Banks E, Meirik O, Farley T, Akande O, Bathija H, Ali M. Female genital mutilation and obstetric outcome: WHO collaborative prospective study in six African coutries. Lancet. 2006 Jun.
  25. Wuest S, Raio L, Wyssmueller D, Mueller MD, Stadlmayr W, Surbek DV, Kuhn A. Effects of female genital mutilation on birth outcomes in Switzerland. BJOG. 2009.
  26. Catania L, Abdulcadir OH, Puppo V, Baldaro Verde J, Abdulcadir J, Abdulcadir D. Pleasure and Orgasm in Women with Female Genital Mutilation/Cutting (FGM/C) J Sex Med. 2007.
  27. Johnsdotter S, Essen B. Sexual health among young Somali women in Sweden: Living with conflicting culturally determined sexual ideologies. Paper presented at International Network to Analyze, Communicate and Transform the Campaign against Female Genital Cutting, Female Genital Mutilation, Female Circumcision (INTACT) Conference on Advancing Knowledge on Psycho-sexual effects of FGM/C: Assessing the Evidence. Alexandria, Egypt, October 10–12. 2004.
  28. Nour NM, Michels KB, Bryant AE. Defibulation to treat female genital cutting: effect on symptoms and sexual function. Obstet Gynecol. 2006.
  29. Adam T, Bathija H, David Bishai, Bonnenfant Y, Darwish M, Huntington D, Johansen E for the FGM Cost Study Group of the World Health Organization. Estimating the obstetric costs of female genital mutilation in six African countries. Bulletin of the World Health Organization. Volume 88, Number 4. April 2010.
  30. Abdulcadir OH, Catania L. La Deinfibulazione. Toscana Medica, n. 1 Gennaio 2006.
  31. Abdulcadir OH, Catania L. Deinfibulazione terapeutica. Il Ginecologo Rivista di Ostetricia e Ginecologia Vol.1, n. 2, Giugno 2006.
  32. Johnson C, Nour NM. Surgical techniques: defibulation of Type III female genital cutting. J Sex Med. 2007.
  33. Catania L. Defibulation: A practice to improve the quality of infibulated women’s life. Female and male genital surgeries: Critical intersections/astonishing issues. In: Abstract Book of the 10th Annual Meeting American Anthropological Association. Critical Intersections/Dangerous Issues, San Jose, California. American Anthropological Association: Arlington, VA; November 15–19 2006.
  34. Sirigatti S, Catania L, Simone S, Casale S, Abdulcadir OH. Preliminary research into the psychosexual aspects of the operation of defibulation. In: Denniston GC, Grassivaro Gallo P, Hodges FM, Milos MF, Viviani F, eds. Bodily integrity and politics of circumcision. New York, NY: Springer; 2006.
  35. Rouzi AA, Aljhadali EA, Amarin ZO, Abduljabbar HS. The use of intrapartum defibulation in women with female genital mutilation. BJOG. 2001.
  36. Adams KE. What’s “normal”: Female Genital Mutilation, Psychology, and Body Image. Journal of the American Medical Women’s Association. 2004.
  37. Foldes P, Louis-Sylvestre C. Results of Surgical Clitoral Repair after Ritual Excision: 453 cases. Gynecol Obstet Fertil. 2006.
  38. Johnsdotter S, Essen B. Genitals and ethnicity: the politics of genital modifications. Reprod Health Matters. May 2010.
  39. Female Genital Cutting in Somalia. Reasons for continuation and strategies for eradication. Hergeisa, Somalia, WHO. 2002.
  40. Budiharsana M. Female circumcision in Indonesia: extent, implications and possible interventions to uphold women’s health rights. Jakarta. Population Council 2004.
  41. Lambelet Coleman D. The Seattle Compromise: Multicultural Sensitivity and Americanization. Duke Law Journal, 1998.
  42. Catania L, Abdulcadir OH. Si può proporre un rito alternativo, eticamente e legalmente accettabile, in una strategia di lotta efficace contro le MGF?. Toscana Medica n. 10. Nov–Dic 2003.
  43. Commissione Regionale di Bioetica. Toscana. Prevenzione delle Mutilazioni Genitali Femminili (MGF): Liceità etica, deontologica e giuridica della partecipazione dei medici alla pratica di un rito alternativo. 9 Marzo 2004
  44. Policy Statement. Ritual Genital Cutting of Female Minors. COMMITTEE ON BIOETHICS. Paediatrics published online Apr 26, 2010.
  45. Jaeger F, Schulze S, Hohlfeld P. Female genital mutilation in Switzerland: a survey among gynaecologists. Swiss Med Wkly. 2002.
  46. Leye E, Ysebaert I, Deblonde J, Claeys P, Vermeulen G, Jacquemyn Y, Temmerman M. Female genital mutilation: knowledge, attitudes and practices of Flemish gynaecologists. 2008.
  47. Jaeger F, Caflisch M, Hohlfeld P. Female genital mutilation and its prevention: a challenge for paediatricians. Eur J Pediatr. 2009.