Ban on Female Genital Mutilation

Type III is the most severe form of FGC and is called infibulation or pharaonic circumcision (referring to the Pharaohs who were thought to practice this form). Infibulation involves extensive tissue removal of the external genitalia, including all of the labia minora and the inside of the labia majora, leaving a raw open wound. The labia majora are then held together using thorns or stitching and the girl's legs are tied together for two - six weeks, to prevent her from moving and allow the healing of the two sides of the vulva. Nothing remains of the normal anatomy of the genitalia, except for a wall of flesh from the pubis down to the anus, with the exception of a pencil-size opening at the inferior portion of the vulva to allow urine and menstrual blood to pass through, see Diagram 1D. This type of FGC is often carried out by an elderly matron or midwife of the village on girls between the ages of two and six, without anaesthetic and under unhygienic conditions.^[11]

A reverse infibulation can be performed to allow for sexual intercourse (often by the husband using a knife on the wedding night) or when undergoing labor, or by female relatives, whose responsibility it is to inspect the wound every few weeks and open it some more if necessary. During childbirth, the enlargement is too small to allow vaginal delivery, and so the infibulation must be opened completely and restored after delivery. Once again, the legs are tied together to allow the wound to heal, and the procedure is repeated for each subsequent act of intercourse or childbirth. When childbirth takes place in a hospital, the surgeons may preserve the infibulation by enlarging the vagina with deep episiotomies. Afterwards, the patient may insist that her vagina be closed again so that her husband does not reject her.^[11]

This practice is reported to cause the disappearance of sexual pleasure for the women affected, as well as major medical complications. Most advocates of the practice continue to perform the procedure in adherence to standards of beauty that are very different from those in the west. Many infibulated women will contend that the pleasure their partners receive due to this procedure is a definitive part of a successful marriage.