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Changes in Sexual Distress, Depression and Sexual Function after Clitoral Reconstruction in Women with Female Genital Mutilation/Cutting

Bibliographic Data

ID19543768
AuthorsGemma Mestre‐Bach (0000-0001-5345-0484, Hospital Universitario Dexeus, corresponding author), Iris Tolosa-Sola, Iris Tolosa‐sola (Hospital Universitario Dexeus), Ignacio Rodríguez (0000-0002-6586-0111, Hospital Universitario Dexeus), Pere Barri-Soldevila (0000-0003-3369-6262, Hospital Universitario Dexeus), Gracia Lasheras (Hospital Universitario Dexeus), Josep M Farré (Hospital Universitario Dexeus, corresponding author)
Year2018
Volume30
Issue4
Pages412-421
Publication date2018-10-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueInternational Journal of Sexual Health (JOURNAL)
Journal identifiersISSN: 1931-7611 • E-ISSN: 1931-762X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/19317611.2018.1554613
OpenAlexW2913498834
LanguageEN
Citations received1
References cited39

Background: Female genital mutilation/cutting (FGM/C) links health complications and psychological distress. However, there is scarce literature on how women with FGM/C respond to treatment interventions. Objective: In this study, we aimed to assess changes in depression symptomatology, sexual function, and distress following clitoral reconstructive surgery combined with a psychoeducational intervention. Methods: The reconstructive surgery consisted of recovering the remaining clitoris and placing it externally and as close to the vagina as possible. FGM/C patients (n = 27) received psychological support and sexual counseling upon undergoing the surgical intervention and were further assessed at 6-month follow-up. Moreover, they completed the Beck Depression Inventory and the Female Sexual Distress Scale Revised at these two time points. Patients’ sexual dysfunction was assessed according to DSM-5 criteria. Results: Statistically significant clinical changes after FGM/C were reported. Overall, patients presented reduced depression and sexual distress levels, and decreased female sexual interest/arousal disorder prevalence. Results also revealed that sexual distress improvements were more significant in Type I FGM/C patients. Conclusions: Significant improvements in sexual distress, psychopathology, and sexual function were observed in our sample following reconstructive surgery, suggesting that combined interventions are effective for treatment

Anxiety · Beck Depression Inventory · Clitoris · Distress · Orgasm · Psychiatry · Psychological intervention · Psychopathology · Reconstructive surgery · Sex organ · Sexual arousal · Sexual behavior · Sexual dysfunction · Sexual function · Clinical Psychology · Female Genital Mutilation/Cutting Issues · Genital Health and Disease · Medicine · Sexual function and dysfunction studies · Internal Medicine · Surgery

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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