This creates a tear which they gradually rip more and more until the opening is sufficient to admit the penis. The penetration of the bride's infibulation takes anywhere from 3 or 4 days to several months. The review also suggested that there was under-reporting. The practitioners' use of shared instruments is thought to aid the transmission of hepatitis B , hepatitis C and HIV , although no epidemiological studies have shown this. Several small studies have concluded that women with FGM suffer from anxiety, depression and post-traumatic stress disorder. Urine may collect underneath the scar, leaving the area under the skin constantly wet, which can lead to infection and the formation of small stones. These were removed from the WHO's definition because of insufficient information about prevalence and consequences.
Reinfibulation can involve cutting the vagina again to restore the pinhole size of the first infibulation. Urine may collect underneath the scar, leaving the area under the skin constantly wet, which can lead to infection and the formation of small stones. Girls in Uganda are told they may have difficulty giving birth without stretched labia. In Kenya, for example, the Kisi cut around age 10 and the Kamba at Over million women and girls are thought to be living with FGM in those 30 countries. Gishiri cutting involves cutting the vagina's front or back wall with a blade or penknife, performed in response to infertility, obstructed labour and other conditions. In the case of Type III, other factors include how small a hole was left for the passage of urine and menstrual blood, whether surgical thread was used instead of agave or acacia thorns, and whether the procedure was performed more than once for example, to close an opening regarded as too wide or re-open one too small. Prevalence of female genital mutilation by country Percentage of the 15—49 group who have undergone FGM in 29 countries for which figures were available in  FGM is found mostly in what Gerry Mackie called an "intriguingly contiguous" zone in Africa—east to west from Somalia to Senegal, and north to south from Egypt to Tanzania. Third-degree laceration tears , anal-sphincter damage and emergency caesarean section are more common in infibulated women. To help the tissue bond, the girl's legs are tied together, often from hip to ankle; the bindings are usually loosened after a week and removed after two to six weeks. In those settings all types of FGM were found to pose an increased risk of death to the baby: The review also suggested that there was under-reporting. One third reported reduced sexual feelings. Complete obstruction of the vagina can result in hematocolpos and hematometra where the vagina and uterus fill with menstrual blood. The opening is larger in women who are sexually active or have given birth by vaginal delivery, but the urethra opening may still be obstructed by scar tissue. In Somalia and Sudan the situation was reversed: According to the study, FGM was associated with an increased risk to the mother of damage to the perineum and excessive blood loss , as well as a need to resuscitate the baby, and stillbirth , perhaps because of a long second stage of labour. From the age of eight, girls are encouraged to stretch their inner labia using sticks and massage. In half the countries for which national figures were available in —, most girls had been cut by age five. These were removed from the WHO's definition because of insufficient information about prevalence and consequences. The penetration of the bride's infibulation takes anywhere from 3 or 4 days to several months. Was your genital area sewn? In Eritrea, for example, a survey in found that all Hedareb girls had been infibulated, compared with two percent of the Tigrinya , most of whom fell into the "cut, no flesh removed" category. This might be performed before marriage, and after childbirth, divorce and widowhood. Several small studies have concluded that women with FGM suffer from anxiety, depression and post-traumatic stress disorder.
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