Pleasure and orgasm in women with female genital mutilation/cutting (FGM/C)
Pleasure and orgasm in women with female genital mutilation/cutting (FGM/C)
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DOI：
10.1111/j.1743-6109.2007.00620.x
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发表时间：
2007-11-01
影响因子：
3.5
通讯作者：
Abdulcadir, Dalmar
中科院分区：
文献类型：
--
作者：
Catania, Lucrezia;Abdulcadir, Omar;Abdulcadir, Dalmar
介绍。切割女性生殖器官侵犯人权。切割女性生殖器官的女性的性行为并不为人所知，而且常常被妇科医生、泌尿科医生和性学家所忽视。在残割的女性中，一些性高潮的基本结构并没有被切除。本报告的目的是描述和分析四项调查的结果在不同组的切割妇女性功能。主要结果测量。工具：半结构式访谈和女性性功能指数（FSFI）。样本：137名受不同类型割礼影响的成年女性；58名生活在西方的年轻女性割礼/残割；57名妇女被阉割；结果：15例妇女行消炎手术。受不同类型割礼影响的137名女性中，几乎86%的人报告了性高潮，通常为69.23%；58名被残割的年轻女性报告性高潮的占91.43%，占8.57%；在截断阴茎后，15名女性中有14人报告了性高潮；接受FSFI问卷调查的57名被阉割的妇女在性欲、性唤起、性高潮和满意度方面与对照组有显著差异，阉割妇女组的平均得分更高。两组在润滑和疼痛方面无明显差异。女性勃起器官的胚胎学、解剖学和生理学在专业教科书中被忽视了。在被插管的女性中，一些性高潮的基本勃起结构并没有被切除。文化影响可以改变对快乐的感知，以及社会接受度。每个妇女都有权享有性健康，并为了个人的身心健康而感到性愉悦。与其他研究一致，本研究报告称，女性生殖器切割也有可能达到性高潮。因此，患有性功能障碍的女性生殖器切割可以而且必须得到治愈；他们有权接受适当的性治疗。
Introduction. Female genital mutilation/cutting (FGM/C) violates human rights. FGM/C women's sexuality is not well known and often it is neglected by gynecologists, urologists, and sexologists. In mutilated/cut women, some fundamental structures for orgasm have not been excised.Aim. The aim of this report is to describe and analyze the results of four investigations on sexual functioning in different groups of cut women.Main Outcome Measure. Instruments: semistructured interviews and the Female Sexual Function Index (FSFI).Methods. Sample: 137 adult women affected by different types of FGM/C; 58 young FGM/C ladies living in the West; 57 infibulated women; 15 infibulated women after the operation of defibulation.Results. The group of 137 women, affected by different types of FGM/C, reported orgasm in almost 86%, always 69.23%; 58 mutilated young women reported orgasm in 91.43%, always 8.57%; after defibulation 14 out of 15 infibulated women reported orgasm; the group of 57 infibulated women investigated with the FSFI questionnaire showed significant differences between group of study and an equivalent group of control in desire, arousal, orgasm, and satisfaction with mean scores higher in the group of mutilated women. No significant differences were observed between the two groups in lubrication and pain.Conclusion. Embryology, anatomy, and physiology of female erectile organs are neglected in specialist textbooks. In infibulated women, some erectile structures fundamental for orgasm have not been excised. Cultural influence can change the perception of pleasure, as well as social acceptance. Every woman has the right to have sexual health and to feel sexual pleasure for full psychophysical well-being of the person. In accordance with other research, the present study reports that FGM/C women can also have the possibility of reaching an orgasm. Therefore, FGM/C women with sexual dysfunctions can and must be cured; they have the right to have an appropriate sexual therapy.