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As Dr Brenda Kelly states Chung,if the official Older women in benha younger than two years un, she is unlikely to remember it and is simply to experience PTSD. Partial or total removal of the clitoris and the symptoms minora, with or without excision of the labia majora; Type III:. Partial or real removal of the clitoris and the labia minora, with or without here of the labia majora; Type III:. Alternatively, women could underreport symptoms because of different devices for example, that other factors than FGM were responsible for the symptoms or taboos info them embarrassed to share these problems.

The process of assimilating into a different culture may cause further stress and affect health and well-being. Migration-related stress may also lead to the high prevalence of mental health problems among migrants Whitehorn, Ayonrinde, Maingay,p. In a recent interview, Dr Brenda Kelly also stated that it is sometimes difficult to work out if the depression is due to the general difficulties of arriving in the UK, or due to the consequences of FGM Chung, Women and girls may experience cognitive dissonance where the norms of FGM are not shared Burrage,p. Festinger Older women in benha that people strive to maintain consistency in their beliefs. However, many were forced to undergo this procedure, and here cognitive dissonance arises because of their conflicting beliefs and actions.

As to whether the psychological effects are the same in the UK as in Africa, Dr Brenda Kelly Chung, noted that psychological distress is something Westerners do talk about and is acceptable to talk about in the UK. In Africa, there is a stigma associated with talking about anything outside the marriage. Hence, Older women in benha psychological consequences Older women in benha FGM are not necessarily more prevalent in Western society, but it can be easier to talk about them. FGM Older women in benha lead to sexual phobia El-Defrawi et al,p. Women may also experience more difficulty reaching orgasm, and shame or embarrassment about intimacy Burrage,p.

Narrowing of the vaginal opening may make intercourse painful for both partners British Medical Association,p. A study Elnashar, Abdelhady,p. Emotional or physical pain during sexual intercourse reduces enjoyment for both the woman and her partner, thus affecting the intimacy in the relationship Whitehorn, Ayonrinde, Maingay,p. An interview with Dr Brenda Kelly Chung, revealed that when intercourse is painful, the vaginal muscles contract, making intercourse even more difficult, thus perpetuating a vicious cycle. As a result, these women avoid sex, which could lead to marital dissatisfaction.

A woman who has undergone FGM may become aware of differences in the appearance of her genitalia and may feel embarrassed during clinical examination or sexual intercourse. Furthermore, women who are aware of a lack of sexual enjoyment may feel anger, guilt, shame or inadequacy p. Furthermore, being unable to have sexual intercourse may lead to a woman not being able to fulfil her childbearing role, and this may be a major role in certain communities. However, the assumption that all circumcised women have sexual problems or are unable to achieve orgasm is not substantiated by research or anecdotal evidence. The relation between the degree of anatomical damage and the ability of women to compensate for it through other sensory areas or emotions and fantasy is not well understood Toubia,p.

She may be closely related or a total stranger. Some survivors experience a sense of betrayal by someone emotionally close to them Whitehorn, Ayonrinde, Maingay,p. In many cases, girls are held down by their female relatives while FGM is carried out British Medical Association,p. Many women were distressed and hurt. As Dr Brenda Kelly states Chung,if the survivor is younger than two years old, she is unlikely to remember it and is unlikely to experience PTSD. Secondly, a variety of other circumstances may mitigate the negative consequences of FGM.

It was found that the type of FGM, country of origin, source of income, vividness of recollection and coping style were significant factors affecting the mental health outcome. Survivors may also be able to recover without developing mental health problems p. Alternatively, women could underreport symptoms because of different perceptions for example, that other factors than FGM were responsible for the symptoms or taboos making them embarrassed to share these problems. A reluctance to report symptoms may also be due to the fact that thinking or talking about their FGM experience may cause the pain experienced at that time to reappear p.

The study also suggested that if women assess the event less negatively, there is lower likelihood of development of PTSD p.

The study therefore highlights the importance of assigning different weights to different factors in each particular case. It is, however, argued by many authors Behrendt and Mortiz, ; Lockhat, ; Elnashar and Abdelhady, Ollder the cultural significance of FGM might not be a protective factor against the development of psychological problems. The World Health Im in Older women in benha. However, these reasons do genha necessarily mitigate benhha negative effects of FGM. It is consequently difficult to make generalisations about the psychological owmen of FGM Epstein, Graham, Rimsza,p. It is therefore suggested wo,en more investment should be put into research, to build an evidence base to support the movement to end FGM, and also to inform the development of psychological support for survivors.

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