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FMG (female genital mutilation) | Dr. Harold Reed | Miami

Dr. Reed, What is meant by infibulation and what is the derivation of the word? Regina

Dear Regina,

Fibula in latin means clasp.  The fibula bone is the lateral non weight bearing bone in the calf which may look like a clasp and provides stability to the ankle.

The complete typology of FGM with sub-divisions is described below:

  • Type I — Partial or total removal of the clitoris and/or the prepuce (clitoridectomy). When it is important to distinguish between the major variations of Type I mutilation, the following subdivisions are proposed:
    • Type Ia, removal of the clitoral hood or prepuce only;
    • Type Ib, removal of the clitoris with the prepuce.
  • Type II — Partial or total removal of the clitoris and the labia minora, with or without excision of the labia majora (excision). When it is important to distinguish between the major variations that have been documented, the following subdivisions are proposed:
    • Type IIa, removal of the labia minora only;
    • Type IIb, partial or total removal of the clitoris and the labia minora;
    • Type IIc, partial or total removal of the clitoris, the labia minora and the labia majora.
  • Type III — Narrowing of the vaginal orifice with creation of a covering seal by cutting and appositioning the labia minora and/or the labia majora, with or without excision of the clitoris (infibulation). When it is important to distinguish between variations in infibulations, the following subdivisions are proposed:
    • Type IIIa, removal and apposition of the labia minora;
    • Type IIIb, removal and apposition of the labia majora.

Areas of the world where FGM is practiced

 

Types of female genital mutilation (FGM) illustrations

Image result for female genital mutilation type 2

Please visit our web-site srsmiami.com/repair-of-female-genital-mutilation-fgm

Harold M. Reed, M.D.
The Reed Centre | Miami
1-305-865-2000

 

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