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Clitoral Pain and Dyspareunia after Female Genital Mutilation/Cutting: A Case Report
Department of the Woman, The Child and the Adolescent, Division of Gynecology, Geneva University Hospitals, Geneva, Switzerland
Washington University, St. Louis, MO, United States
Division of Gynecology, Sion Hospital, Sion, Switzerland
- 1 Department of the Woman, The Child and the Adolescent, Division of Gynecology, Geneva University Hospitals, Geneva, Switzerland
- 2 Washington University, St. Louis, MO, United States
- 3 Division of Gynecology, Sion Hospital, Sion, Switzerland
International Journal of Clinical Medicine·Volume 10 (2019)·Pages 379–385·Published 19 July 2019·DOI10.4236/ijcm.2019.107030
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Abstract
Background: Current evidence has focused on the complications of female genital mutilation/cutting (FGM/C) types 2 and 3, and there is a gap in the knowledge of the complications of FGM/C types 1 and 4, which are often considered milder forms of cutting. Case Presentation: A 23-year-old Somali woman with FGM/C was referred for chronic clitoral pain and superficial dyspareunia after several inconclusive gynecological examinations. Her clitoris was found to be entrapped under the scar of the cut clitoral hood. We surgically lysed the scar and reconstructed a prepuce. At the two-month follow-up, the patient reported no pain and physiologic sexual response. Conclusion: Clitoral pain and dyspareunia after FGM/C can be due to the incarceration of the clitoral glans. Treatment is surgical lysis of the scar.
KeywordsFemale Genital Mutilation/Cutting (FGM/C)DyspareuniaClitorodynia
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