FGM

Question 1

Type 1

Answer 1

Partial or total removal of the clitoris or prepuce

Question 2

Type 2

Answer 2

Partial or total removal of the clitoris and the labia minora w or wo labia majora

Question 3

Type 3

Answer 3

Narrowing of the vaginal orrifce by cutting and sealing the labia majora

Question 4

Type 4

Answer 4

All other procedures- piercing, pricking etc

Question 5

Countries

Answer 5

Most common in Africa- Somalia, Sudan, Ethiopoa etc

Question 6

Short term complications

Answer 6

• Infection
• Bleeding
• Swelling
• Urinary retention

Question 7

Long term complications

Answer 7

• Recurrent UTI
• Dyspareunia
• BV/PID
• Scarring
• PTSD/trauma
• Menstrual difficulties
• Hep B/HIV- shared instruments

Question 8

FGM and the law

Answer 8

• Illegal in UK to perform here or overseas
• DO NOT reinfibulate

Question 9

New diagnosed cases

Answer 9

For all women w FGM:
- Document in pt notes
- Submit data to HSCIC w name (data is later anonymised)

• If <18yo, report yo police within 1 month
• Social services- if risk to unborn child/child at home

Question 10

De-infibulation

Answer 10

• Offer early- Pre-preg ideally
• Can be done antenatally or in labour
• Under local if wanted
• DO NOT reinfibulate after bith
• DO NOT perform clitoral reconstruction

Question 11

Pregnancy mx

Answer 11

• Ask all women about FGM
• Check HIV, Hep B/C status
• Cons led care, unless prev SVD