Female genital mutilation (FGM) is performed in many countries where it is an accepted and expected custom. This is not the case in the UK but more and more women who have had FGM performed are presenting to healthcare professionals. It is therefore important that we increase our awareness of FGM and the particular problems associated with this procedure. There is no religious basis for FGM but it is perpetuated by tradition in societies. The complications are vast, and women who are coming to this country who have had FGM are often keen to have it reversed. Although the vaginal introitus can be made adequate, if the clitoris has been removed, clearly this cannot be replaced.
It is illegal to perform FGM in this country after the Prohibition of Female Circumcision Act 1985. However, it is important that we are sensitive and supportive to women who have had FGM.
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