Les Effets Néfastes des Mutilations Génitales Féminines / Excision sur les Fonctions Sexuelles

Ousmane Kanté Ibrahim, Salia Traoré Mamadou, Ahmadou Coulibaly, Mamadou Sima, Augustin Théra Tiounkani, Amadou Bocoum, Oumar Traoré Soumana, Aminata Kouma, Youssouf Traoré, Ibrahima Teguété

Abstract


RÉSUMÉ
But. Décrire les effets néfastes des mutilations génitales féminines / excision (MGF/E) sur les fonctions sexuelles. Patientes et méthodes. Notre étude s'est déroulée dans le service d’obstétrique CHU Point G. Il s’agit d’une étude cas / témoins. Le cas était la femme excisée et le témoin, la femme non excisée. Notre étude a duré seize mois, du 01/01/2019 au 30/04/2020. L’étude a concerné les primipares de 14 à 49 ans excisées ou non. Aucune femme non consentante n’at été retenue. Le recueil des données a été fait sur questionnaires individuels. Résultats. Parmi les 1518 accouchées de la période d’étude, il y avait 266 femmes porteuses de MGF/E ; elles ont fait l’objet de notre travail. La tranche d'âge la plus représentée était  celle de 14 à 19 ans, soit 51,1% chez les cas et témoins. Les bambaras (34,6 %) et sonrhaïs (31,1%) étaient les ethnies  majoritaires dans les deux groupes.. Les mères analphabètes (57,8%) et celles du niveau secondaire (59,3%) étaient majoritaires chez les cas et les témoins. L’excision de type 3 a représenté 12 % des cas. Il y a eu 78,9% de complications psycho-sexuelles chez les femmes excisées contre 7,5% chez les non excisées et cette différence était statistiquement significative (P<0,05). Conclusion. Les MGF sont une pratique fréquente au Mali et sont une source notable de complications psycho-sexuelles. Des mesures doivent être prises pour la prévention et l’éradication de ce fléau.
ABSTRACT
Aim. To describe the harmful effects of female genital mutilation / excision (FGM / E) on sexual functions. Patients and methods. Our study was carried out in the obstetrics department CHU Point G. It was a case / control study. The case was the excised woman and the control, was the non-excised woman. Our study lasted sixteen months, from 01/01/2019 to 04/30/2020. We included, primiparas from 14 to 49 years old excised or not. All  women participating to the study gave their consent. The sample size was calculated based on the case / control sample. Data collection was done on individual questionnaires. Results. Among 1,518 deliveries during our study period,  there were 266 women with FGM E. The age group most represented was 14-19, or 51.1% in the cases and controls. The Bambara (34.6%) and Songhai’s (31.1%) were the main ethnic groups in the cases and the controls. Illiterate mothers (57.8%) and those limited to secondary level education (59.3%) were mostly represented.  Type 3 circumcision accounted for 12% of cases. There were 78.9% of psycho-sexual complications in the excised women against 7.5% in the non-excised and that difference was statistically significant (P <0.05). Conclusion. FGM are still frequent practice in Mali.  They are cause significant psychosexual complications. Measures must be taken to control this situation.

Keywords


Mutilations Génitales Féminines ; complications psycho-sexuelles.

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