In many civilizations, certain surgical procedures have profoundcultural and social meanings. Male circumcision, for example,has deep importance as a symbol of religious and ethnic identityand has played a major part in the political and social historyof many peoples1. Female circumcision has particularly strongcultural meaning because it is closely linked to women's sexualityand their reproductive role in society.
Female circumcision is practiced today in 26 African countries,with prevalence rates ranging from 5 percent to 99 percent.It is rarely practiced in Asia. It is estimated that at least100 million women are circumcised. . . . [Full Text of this Article]
The Procedures
Physical Complications
Psychological and Sexual Effects
The Cultural Meaning of Female Circumcision
Clinical Management
Legal and Ethical Considerations
Conclusions
Source Information
From the School of Public Health, Columbia University, and the Research Action and Information Network for the Bodily Integrity of Women, both in New York.
Address reprint requests to Dr. Toubia at P.O. Box 1554, Cooper Sta., New York, NY 10276.
References
Related Letters:
Female Circumcision
Horowitz C. R., Jackson J. C., Teklemariam M., Schoen E. J., Buff D. D., Weydert J.-M., Fleiss P. M., Gilson G. J., Toubia N.
Extract |
Full Text
N Engl J Med 1995;
332:188-190, Jan 19, 1995.
Correspondence
This article has been cited by other articles:
Turillazzi, E, Fineschi, V
(2007). Female genital mutilation: the ethical impact of the new Italian law. J. Med. Ethics
33: 98-101
[Abstract][Full Text]
Elmusharaf, S., Elhadi, N., Almroth, L.
(2006). Reliability of self reported form of female genital mutilation and WHO classification: cross sectional study. BMJ
333: 124-
[Abstract][Full Text]
Anuforo, P. O., Oyedele, L., Pacquiao, D. F.
(2004). Comparative Study of Meanings, Beliefs, and Practices of Female Circumcision Among Three Nigerian Tribes in the United States and Nigeria. J Transcult Nurs
15: 103-113
[Abstract]
Allam, M. F. A., de Irala-Estevez, J., Navajas, R. F.-C., del Castillo, A. S., Hoashi, J. S., Pankovich, M. B., Liceaga, J. R.
(1999). Students' Knowledge of and Attitudes about Female Circumcision in Egypt. NEJM
341: 1552-1553
[Full Text]
Groce, N. E.
(1997). Women With Disabilities in the Developing World: Arenas for Policy Revision and Programmatic Change. Journal of Disability Policy Studies
8: 177-193
[Abstract]
Council on Scientific Affairs, American Medical As, , Davis, R. M., Genel, M., Howe, J. P. III, Karlan, M. S., Kennedy, W. R., Numann, P. J., Riggs, J. A., Heights, H., Skelton, W. D., Slanetz, P. J., Spillman, M. A., Williams, M., Young, D. C., Allen, J. R., Rinaldi, R. C., Gettleman, L., Bresolin, L. B.
(1995). Female Genital Mutilation. JAMA
274: 1714-1716
[Abstract]
Horowitz, C. R., Jackson, J. C., Teklemariam, M., Schoen, E. J., Buff, D. D., Weydert, J.-M., Fleiss, P. M., Gilson, G. J., Toubia, N.
(1995). Female Circumcision. NEJM
332: 188-190
[Full Text]
Schroeder, P.
(1994). Female Genital Mutilation -- A Form of Child Abuse. NEJM
331: 739-740
[Full Text]