In reply-Consider the Personhood of Women Who Experienced Genital Cutting

University of Washington, Seattle.
Mayo Clinic Proceedings (Impact Factor: 6.26). 10/2013; 88(10):1180-1181. DOI: 10.1016/j.mayocp.2013.08.003
Source: PubMed
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    ABSTRACT: The practice of female "circumcision," or traditional fe male genital surgery, is simultaneously complex and controversial, Although some consider it a human rights infringement, others view it as an integral part of cultures in which it remained unchallenged for centuries, With more than 30.000 Africmls entering the United States in the last decade, American clinicians are challenged with meeting Africml women's health needs, as they are barraged with a debate about the ethics and politics of circumcision, There are significant medical sequelae and public health ramifications of female circumcision: therefore most U, S. physicians probably would agree that programs to abolish it should continue. However, although there is ample media and political attention to this volatile issue. there is a relative dearth of practical, clinical information available to providers who care for circumcised women and their families. As African communities and advocates grapple with how to stop this practice, circumcised women need clinicians familiar with these surgeries, who
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    ABSTRACT: The United States has more than 1.5 million immigrants from countries in Africa and the Middle East where female genital cutting (FGC) is known to occur. Often, FGC occurs in infancy and childhood in the countries where it is practiced, but patients of any age can present with complications. Lack of understanding of this common problem can potentially alienate and lower quality of care for this patient population. We provide an introduction to the practice of FGC and practice guidelines for the primary care physician. We reviewed original research, population-based studies, and legal research from PubMed, Scopus, CINAHL plus, PsycINFO, and Legal Trac. The terms searched included female genital cutting, female genital circumcision, and female genital mutilation alone and with the term complications or health consequences; no limit on date published. Legal databases were searched using the above terms, as well as international law and immigration law. Editorials and review articles were excluded. This review discusses the different types of FGC, important cultural considerations for physicians caring for patients with FGC, the common early and late medical complications and their management, and psychosocial issues associated with FGC. Current laws pertaining to FGC are briefly reviewed, as well as implications for patients seeking asylum status in the United States because of FGC. Finally, the article presents evidence-based, culturally sensitive approaches to discussions of FGC with girls and women for whom this is an issue.
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