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FEMALE GENITAL CUTTING the Global North and South
Copyright © The authors, 2020 Cover by Nille Leander and Sara Johnsdotter ISBN 978-91-7877-123-3 (print) ISBN 978-91-7877-124-0 (pdf) DOI 10.24834/isbn.9789178771240 Published by the Centre for Sexology and Sexuality Studies, Malmö University Printed at Holmbergs, Malmö 2020 FEMALE GENITAL CUTTING The Global North and South Edited by Sara Johnsdotter The publication can be accessed at mau.diva-portal.org (PDF) Contents Sara Johnsdotter & R. Elise B. Johansen Introduction 7 Ellen Gruenbaum Tensions and Movements: Female Genital Cutting in the Global North and South, Then and Now 23 Lisen Dellenborg The Significance of Engagement — Challenges for Ethnographers and Healthcare Givers in Understanding Human Vulnerability 59 Emmaleena Käkelä Rethinking Female Genital Cutting: From Culturalist to Structuralist Framework for Challenging Violence Against Women 79 Maria Väkiparta Young Men Against FGM/C in Somaliland: Discursively Negotiating Violence, Gender Norms, and Gender Order 103 Inger-Lise Lien Is the Ritual of Female Genital Mutilation an Event that Will Generate a Traumatic Stress Reaction for Cut Children? Cases from The Gambia, Eritrea and Somalia 131 Lisen Dellenborg & Maria Frederika Malmström Listening to the Real Agents of Change: Female Circumcision/Cutting, Female Genital Mutilation and Human Rights 159 R. Elise B. Johansen, in collaboration with Amira Jama Mohammed Ibrahim, Naeema Saeed Sheekh Mohammed, Khadra Yasien Ahmed, Abdirizak Mohamud, Ibrahim Sheick Mohammed Ahmed, & Omar Nur Gaal Methodological Reflections on the Engagement -
Honorable Daughters
HONORABLE DAUGHTERS: THE LIVED EXPERIENCE OF CIRCUMCISED SUDANESE WOMEN IN THE UNITED STATES A dissertation presented to the faculty of the College of Education of Ohio University In partial fulfillment of the requirements for the degree Doctor of Philosophy Asma Mohamed Abdel Halim June 2003 2003 Asma Mohamed Abdel Halim All Rights Reserved This dissertation entitled HONORABLE DAUGHTERS: THE LIVED EXPERIENCE OF CIRCUMCISED SUDANESE WOMEN IN THE UNITED STATES By Asma Mohamed Abdel Halim has been approved for the Department of Educational Studies And the College of Education by William Stephen Howard Associate Professor of Educational Studies James Heap Dean, the College of Education ABDEL HALIM, ASMA, MOHAMED Ph.D. June 2003. Educational Studies HONORABLE DAUGHTERS: THE LIVED EXPERIENCE OF CIRCUMCISED SUDANESE WOMEN IN THE UNITED STATES (272 pp.) Director of Dissertation: William Stephen Howard ABSTRACT This is a qualitative study of the experiences of circumcised Sudanese women in the United States. It is done to find out whether the immigration experience has affected the cultural perceptions of women, in particular their views about female circumcision (FC). Questions are focused on what exactly has changed in their lives that resulted in a change of attitude or behavior. Three focus groups of women of different age groups participated in the research. One woman of each group was interviewed in depth. Open ended questions and semi structured interviews were conducted. Participants were allowed to ask questions and answer questions during the meetings. Debates around gender relations and family relations inside the homes were quite useful to the analysis of information gathered during lengthy interviews with individual women. -
Feminizing Genitoplasty in Congenital Adrenal Hyperplasia: the Value Of
Original article 111 Feminizing genitoplasty in congenital adrenal hyperplasia: the value of urogenital sinus mobilization Hesham Mahmoud Shoeira, Mohammed El-Ghazaly Walia, Tarek Badrawy AbdelHamida and Magdy El-Zeinyb Background/purpose Congenital adrenal Results A genitogram has a sensitivity of 64.3% in hyperplasia is a common cause of ambiguous estimating the length of the common channel. genitalia in female individuals. These patients require The length of common channel is not related to the degree feminizing surgery aiming at reconstruction of of virilization. Good cosmetic outcome was reported in feminine external genitalia with normal function. 71.4% of cases. All postoperative complications were Total urogenital mobilization was developed to avoid minor and managed by simple maneuvers. All patients had dissection in the common wall between the vagina good urinary control after urogenital mobilization. and urethra. This study aims at evaluating the outcome Conclusion Urogenital sinus mobilization is a valuable of feminizing genitoplasty after the use of urogenital tool in the early one-stage feminizing surgery with few mobilization. technical problems, good cosmetic outcome, low incidence Patient and methods Fourteen female patients with of complications, and good urinary continence. Ann Pediatr congenital adrenal hyperplasia were managed during the Surg 8:111–115 c 2012 Annals of Pediatric Surgery. period from July 2007 to April 2011. They were assessed Annals of Pediatric Surgery 2012, 8:111–115 clinically according to the Prader score. The common channel anatomy was studied by a flush retrograde Keywords: congenital adrenal hyperplasia, feminizing genitoplasty, urogenital sinus mobilization genitogram. Clitoroplasty, vaginoplasty, and labioplasty were performed. The common sinus was managed aDepartment of Pediatric Surgery and bPediatric Endocrinology and Diabetes Unit, Mansoura University Children’s Hospital, Mansoura Faculty of Medicine, by urogenital mobilization. -
Recent Literature in Sexual Medicine/ Andrology
1 December 2010 Recent Literature in Sexual Medicine/ Andrology Original Research Prevalence of Sexual Activity and Associated Factors in Men Aged 75 to 95 Years A Cohort Study Zoë Hyde, MPH; Leon Flicker, MBBS, PhD; Graeme J. Hankey, MD; Osvaldo P. Almeida, MD, PhD; Kieran A. McCaul, MPH, PhD; S.A. Paul Chubb, PhD; and Bu B. Yeap, MBBS, PhD + Author Affiliations From Western Australian Centre for Health and Ageing, Centre for Medical Research, Western Australian Institute for Medical Research, School of Medicine and Pharmacology, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley; Royal Perth Hospital, Perth; and Fremantle Hospital, Fremantle, Western Australia, Australia. Ann Int Med 2010, publ.online Dec. 6,2010 Abstract Background : Knowledge about sexuality in elderly persons is limited, and normative data are lacking. Objective : To determine the proportion of older men who are sexually active and to explore factors predictive of sexual activity. Design: Population-based cohort study. Setting : Community-dwelling men from Perth, Western Australia, Australia. Participants : 3274 men aged 75 to 95 years. Measurements : Questionnaires from 1996 to 1999, 2001 to 2004, and 2008 to 2009 assessed social and medical factors. Sex hormones were measured from 2001 to 2004. Sexual activity was assessed by questionnaire from 2008 to 2009. 2 Results: A total of 2783 men (85.0%) provided data on sexual activity. Sex was considered at least somewhat important by 48.8% (95% CI, 47.0% to 50.6%), and 30.8% (CI, 29.1% to 32.5%) had had at least 1 sexual encounter in the past 12 months. -
Female Genital Excision and the Implications of Federal Prohibition
William & Mary Journal of Race, Gender, and Social Justice Volume 2 (1995) Issue 1 William & Mary Journal of Women and Article 7 the Law October 1995 Female Genital Excision and the Implications of Federal Prohibition Blake M. Guy Follow this and additional works at: https://scholarship.law.wm.edu/wmjowl Part of the Human Rights Law Commons, and the Indian and Aboriginal Law Commons Repository Citation Blake M. Guy, Female Genital Excision and the Implications of Federal Prohibition, 2 Wm. & Mary J. Women & L. 125 (1995), https://scholarship.law.wm.edu/wmjowl/vol2/iss1/7 Copyright c 1995 by the authors. This article is brought to you by the William & Mary Law School Scholarship Repository. https://scholarship.law.wm.edu/wmjowl FEMALE GENITAL EXCISION AND THE IMPLICATIONS OF FEDERAL PROHIBITION BLAKE M. Guy* To be a woman is to be healthy.1 "No one racial, religious or ethnic group has known discrimi- nation as consistently as women have throughout recorded his- tory."2 Due to the ongoing efforts of several international organizations, however, recent observers note an unprecedented increase in the international attention focused on women's human rights and the advancement of the status of women. 3 In February of 1994, the United States Department of State issued its annual human rights report.4 Documenting the abuse and discrimination present in nearly 200 countries, the report was perhaps most noteworthy for its expanded examination of the physical abuse of women throughout the world." The report "took a broad view of women and human rights, looking not just at abuses by governments, but at the indignities and discrimi- nation" with which governments often have little involvement.6 The physical health and psychological well-being of women around the globe are placed in constant jeopardy by the contin- * J.D. -
MM166 Transgender Health Policy
Department: Medical Management Original Approval: 07/19/2018 Policy #: MM166 Last Approval: 10/07/2020 Title: Transgender Health Policy Approved By: UM Medical Subcommittee Line(s) of Business WAH-IMC (HCA) BHSO Medicare Advantage (CMS) Medicare SNP (CMS) Cascade Select REQUIRED CLINICAL DOCUMENTATION FOR REVIEW 1. Clear documentation of the diagnosis of Gender Dysphoria must be provided. 2. Medical records required from all of the following: a) Two licensed mental health professionals (only one needed for Female to Male chest surgery) b) The medical provider who has managed the hormone therapy, primary care and/or transgender services c) The surgeon(s) recommending the surgical procedures 3. Clear evidence of a comprehensive, patient-centered plan of care with coordination between the care team and consent of the member must include the following: a) Plan of care documentation must include the member’s signature to document understanding of the treatment plan, surgical treatment, risks and benefits of the surgery; and b) A comprehensive referral letter for surgery, written and signed by a member of the treatment team, with a prior authorization request for surgery must be submitted to the plan. 4. Details of any specific needs related to risk/trauma/cultural etc. BACKGROUND The category of Gender Affirming Surgery includes: 1. Breast/chest surgeries; 2. Genital surgeries; 3. Other surgeries. Male-to-Female (MTF) affirming surgical procedures may include the following: 1. Breast/chest surgery: breast augmentation 2. Genital surgery: male genitalia to female genitalia include a penectomy (removal of penis) and orchiectomy (removal of the testes), which are typically followed by a vaginoplasty (creation of the vagina) or a feminizing genitoplasty (creation of female genitalia). -
13B. Health of Intersex People
Affirming Care for People with Intersex Traits: Everything You Ever Wanted to Know, But Were Afraid to Ask Katharine Baratz Dalke, MD MBE She/Her/Hers Director of the Office for Culturally Responsive Health Care Education Assistant Professor of Psychiatry and Behavioral Health Penn State College of Medicine March 22, 2020 Goals By the end of this hour, you will be able to: ▪ Appreciate the diversity of intersex traits, and the conditions associated with them ▪ Describe the traditional approach to people with intersex traits and its impact on health ▪ Implement an affirming approach to physical and behavioral health care for people with intersex traits What are intersex traits? Group of congenital variations relative to endosex traits ▪ Sex chromosomes, hormones, and/or internal or external genitalia ▪ May also see variations in secondary sex traits ▪ Included among sexual and gender diverse/minority populations ▪ Present at any time across the lifespan About Language… That is complicated ▪ Hermaphroditism ▪ Intersex/uality ▪ Differences/Disorders of Sex Development ▪ Intersex (traits/conditions), DSD ▪ Endosex Why Learn About Intersex? People with intersex traits… ▪ Are common (1 in 100 - 2000) ▪ Benefit from quality medical care ▪ May receive care in SGM health settings ▪ Are rarely intentionally included in SGM health Review of Sex Development nnie Wang, NY Times Tim Bish|Unsplash Sex Chromosomes . Eggs: X, XX XO . Sperm: X, Y, O, XX, YY . Sex chromosomes initiate gonad development . Gonads produce hormones and gametes Prenatal Development -
Infertility and Reproductive Function in Patients with Congenital Adrenal Hyperplasia Pathophysiology, Advances in Management, and Recent Outcomes
Infertility and Reproductive Function in Patients with Congenital Adrenal Hyperplasia Pathophysiology, Advances in Management, and Recent Outcomes a a b, Oksana Lekarev, DO , Karen Lin-Su, MD , Maria G. Vogiatzi, MD * KEYWORDS 21-Hydroxylase deficiency Congenital adrenal hyperplasia Fertility Pregnancy Testicular adrenal rest tumors (TART) KEY POINTS Fertility data in CAH focus primarily on 21-hydroxylase deficiency. Fertility rates in women with CAH have improved over time. Current pregnancy rates approach 90% among those with classic disease seeking conception. Children born to mothers with CAH typically have no evidence of virilization. Fertility rates are decreased in men with classic CAH; testicular adrenal rest tumors are a common cause of infertility, require surveillance with repeated ultrasonography, and can respond to therapy with glucocorticoids. Suppression of adrenal androgen secretion represents the first treatment strategy toward spontaneous conception in both men and women with CAH. INTRODUCTION Congenital adrenal hyperplasia (CAH) refers to a group of inherited autosomal reces- sive disorders that lead to defective steroidogenesis. Cortisol production in the zona fasciculata of the adrenal cortex occurs in several enzyme-mediated steps. Compro- mised enzyme function at each step leads to a characteristic combination of elevated The authors have nothing to disclose. a Pediatric Endocrinology, Weill Cornell Medical College, New York, NY, USA; b Division of Endocrinology and Diabetes, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Phila- delphia, PA 19104, USA * Corresponding author. Division of Endocrinology and Diabetes, Children’s Hospital of Phila- delphia, 3401 Civic Center Blvd, Philadelphia, PA 19104. E-mail address: [email protected] Endocrinol Metab Clin N Am 44 (2015) 705–722 http://dx.doi.org/10.1016/j.ecl.2015.07.009 endo.theclinics.com 0889-8529/15/$ – see front matter Ó 2015 Elsevier Inc. -
The Criminalization of Female Genital Mutilation in the United States, 4 J
Journal of Law and Policy Volume 4 | Issue 1 Article 11 1995 The rC iminalization of Female Genital Mutilation in the United States Karen Hughes Follow this and additional works at: https://brooklynworks.brooklaw.edu/jlp Recommended Citation Karen Hughes, The Criminalization of Female Genital Mutilation in the United States, 4 J. L. & Pol'y (1995). Available at: https://brooklynworks.brooklaw.edu/jlp/vol4/iss1/11 This Note is brought to you for free and open access by the Law Journals at BrooklynWorks. It has been accepted for inclusion in Journal of Law and Policy by an authorized editor of BrooklynWorks. THE CRIMINALIZATION OF FEMALE GENITAL MUTILATION IN THE UNITED STATES Karen Hughes* INTRODUCTION Female genital mutilation ("FGM")' is a cultural and ritual tradition most often practiced in African and Middle Eastern countries.2 Female genital mutilation refers to several types of genital operations performed on young girls-from newborn babies to adolescents-where part or all of the external female genitalia are removed.3 " Brooklyn Law School Class of 1996. The author wishes to thank Brooklyn Law School Professor Elizabeth M. Schneider for her valuable assistance in the preparation of this Note. ' The term "female genital mutilation" ("FGM") adequately describes the practice discussed in this Note. "Female circumcision" is a misnomer which suggests that the procedure is closely related in nature and effect to male circumcision. Male circumcision involves the removal of a portion of penile foreskin, whereas female genital mutilation involves the removal of healthy and highly sensitive genital organs. Eugenie Anne Gifford, "The Courage to Blaspheme ": Confronting Barriers to Resisting Female Genital Mutilation, 4 UCLA WOMEN'S L.J. -
Female Genital Mutilation in Africa: an Analysis of Current Abandonment Approaches
Female genital mutilation in Africa An analysis of current abandonment approaches December 2005 A.C.S. Plaza, 4th Floor, Lenana Road P.O. Box 76634, Nairobi, 00508 Tel: 254.20.3877177 Fax: 254.20.3877172 email: [email protected] www.path.org Suggested citation: Muteshi J, Sass J. Female Genital Mutilation in Africa: An Analysis of Current Abandonment Approaches. Nairobi: PATH; 2005. Copyright © 2006, Program for Appropriate Technology in Health (PATH). All rights reserved. The material in this document may be freely used for education or noncommercial purposes, provided the material is accompanied by an acknowledgement line. Table of contents Acronyms ............................................................................................................................ 3 Executive summary ............................................................................................................ 4 1 Introduction ................................................................................................................ 6 2 FGM prevalence.......................................................................................................... 7 FGM prevalence by residence ..................................................................................... 8 FGM prevalence by ethnicity ...................................................................................... 9 FGM prevalence by education..................................................................................... 9 FGM prevalence by religion.......................................................................................10 -
UNMH Obstetrics and Gynecology Clinical Privileges Name
UNMH Obstetrics and Gynecology Clinical Privileges Name:____________________________ Effective Dates: From __________ To ___________ All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective April 28, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment) Expansion of Privileges (modification) INSTRUCTIONS: Applicant: Check off the “requested” box for each privilege requested. Applicants have the burden of producing information deemed adequate by the Hospital for a proper evaluation of current competence, current clinical activity, and other qualifications and for resolving any doubts related to qualifications for requested privileges. Department Chair: Check the appropriate box for recommendation on the last page of this form. If recommended with conditions or not recommended, provide condition or explanation. OTHER REQUIREMENTS: 1. Note that privileges granted may only be exercised at UNM Hospitals and clinics that have the appropriate equipment, license, beds, staff, and other support required to provide the services defined in this document. Site-specific services may be defined in hospital or department policy. 2. This document defines qualifications to exercise clinical privileges. The applicant must also adhere to any additional organizational, regulatory, or accreditation requirements that the organization is obligated to meet. --------------------------------------------------------------------------------------------------------------------------------------- -
New Insights Into Feminizing Genitoplasty ______
SURGICAL TECHNIQUE Vol. 47 (4): 861-867, July - August, 2021 doi: 10.1590/S1677-5538.IBJU.2020.0839 Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty _______________________________________________ Nicolas Fernandez 1, 2, 3, Julián Chavarriaga 1, Jaime Pérez 1, 2 1 Division of Urology, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogota, Colombia; 2 Department of Urology, Fundacion Santa Fe de Bogota, Bogota, Colombia; 3 Division of Urology, Seattle Children’s Hospital, University of Washington, Seattle, WA, United States ABSTRACT ARTICLE INFO Introduction: 46,XX Congenital adrenal hyperplasia (CAH) remains the first cause Julián Chavarriaga of genital virilization and current surgical techniques aim to restore female aspect http://orcid.org/0000-0003-0158-504X of genitalia while preserving dorsal neurovascular bundle but not at the expense of not preserving erectile tissue. We aim to report our experience with a new surgical Keywords: technique for clitoroplasty, completely preserving corporeal bodies, neurovascular Surgical Procedures, Operative; bundles without dismembering the clitoris, in four patients with over a year follow up. Adrenal Hyperplasia, Congenital; Materials and Methods: After IRB approval four patients with 46,XX CAH and Prader 5 Clitoris and 3 external genitalia, underwent feminizing genitoplasty. Complete preservation of Int Braz J Urol. 2021; 47: 861-7 erectile tissue was accomplished without a need to dissect dorsal neurovascular bundle. _____________________ Glans size allowed no need for glanular reduction and there was no need to dismember Submitted for publication: the corporeal bodies. September 18, 2020 Results: Four patients 12 to 24-months-old underwent complete corporeal preservation _____________________ clitoroplasty (CCPC), mean age was 18.5 months, mean follow up was 10.25 months.