Pleasure, orgasm, and sexual mutilations in different cultural settings

Abstract

Female genital mutilation (FGM), perhaps among the most culturally determined surgical practices in the world today, profoundly impacts quality of life in women. However, in some women who have undergone FGM, sexuality—specifically pleasure and orgasm—might be spared. Such controversial and paradoxical outcomes may be explained by adopting a dutiful sociocultural and historical perspective, allowing the clinician to manage sexual problems related to FGM while also showing respect for a woman’s cultural beliefs, needs, and expectations. While, on the one hand, it is critically important to advocate strongly for the abolition of FGM, on the other, healthcare professionals should understand the impact of FGM on women’s well-being and be trained to assess and treat possible sexual complications with a prejudice-free attitude.