By Debangana Chatterjee

Though the exact reason for the origin of Female Genital Cutting (FGC) is unknown due to the dearth of conclusive evidences, multiple theories revolve around how the practice began. FGC precedes both the start of Islam and Christianity and is practised predominantly because of cultural traditions. FGC is not limited to a single community, religion or ethnicity. Rosemarie Skaine mentions that there are archival documentations indicating a Greek papyrus to have recorded women to get circumcised while receiving dowries around approximately 163 BC. In fact, there are several Greek scholars mentioning its prevalence before the advent of Christianity.

Broadly, the practice is believed to have originated in Egypt where circumcised and infibulated mummies were found according to Frank P. Hosken. Gradually, it spread around the contiguous areas of the Red Sea coast among the tribes through the Arabian traders. In Hanny Lightfoot-Klein’s opinion, though the practice is believed to first have spread in the form of infibulation, clitoridectomy increasingly became the more acceptable form of FGC. During the Pharaonic era, the Egyptians believed in gods having bisexual features. Elizabeth Boyle recounts that these features were believed to reflect upon the mortals, with women’s clitoris representing the masculine soul and men’s prepuce that of the feminine soul. Thus, circumcision was considered to be a marker of womanhood and a way to detach from her masculine soul. As it became a socio-cultural norm, FGC became the utmost criteria for women’s marriage, inheritance of property and social acceptance in ancient Egypt.

Lightfoot-Klein also suggests that population control was also one of the driving forces behind the practice as by controlling a woman’s sexuality; it kept the woman’s desires in check and made her sexually modest. Due to the narrowing of the vaginal orifice through infibulation, women would experience excruciating pain during sexual intercourse and thus, it becomes an effective measure to hinder premarital sex among women and ensure their fidelity. In fact, in places like Darfur, sudden desertification of arable lands made infibulation one of the population control measures.

Boyle suggests the Egyptian practice of FGC and slavery can be correlated for providing an explanation of its origin. Before the advent of Islam, Egyptian rulers expanded their kingdom towards the southern region in search for slaves. As a result, Sudanic slaves were taken to Egypt and the areas nearby. Incidentally, slavery became commonplace with its aim to deliver servants and concubines to the Arabic world. As a result, women with stitched vaginas were in high demand due to the lessening possibilities that they would become impregnated.

But after the arrival of Islam in the region, a strict prohibition towards enslaving other Muslims allowed the practice to get extended to other parts of Africa when the slave traders introduced infibulation among the non-Muslims to raise women’s value as slaves. This not only explains the introduction of FGC among North-African communities, but also explicates the coincidence of its spread in Africa simultaneous to the rise of Islam. In some cases, the practice has also sought its validation through Islamic scriptures. Doraine Lambelet Coleman says that one of the hadiths in Islam is thought to permit a limited form of cutting, though the hadith is also contested for being deficient of its genealogical authenticity. Despite the Prophet being explicit about sunna (tradition) on male genitals, FGC’s existence within Islam remains debatable. The practice was believed to be introduced in the South East Asian countries at around approximately 13th century, supposedly due to the reasons of Islamic conversion process after the change in regime. The predominant Shafi school of Sunni Islam in Indonesia and Malaysia justifies FGC as an Islamic practice and is culturally influenced by the Eastern part of the Arabian peninsula, the region where presently Yemen and Oman are situated. The justification for the practice in these countries come as they prescribe ‘nicking’ of the outer clitoral skin without really injuring the female genitals. In fact, this explains the burgeoning medicalisation of the practice in these two countries. In Singapore, the practice prevails due to the regional influence of Shafi Islam on the one hand and a few practicing ethnic Malay population on the other. The practice is rife among the Kuria, Kikiyu, Masai and Pokot people in Kenya, Zaramos in Tanzania, Dogon and Bambara people in Mali to name a few. Scholars have also indicated the income-generating facet of the practice in the face of unavailability of alternative livelihoods for the individual circumcisers.

Though immigration due to slave exportation and other reasons is considered to be one of the predominant forces behind the spread of FGC in the West, L. Amede Obiora claims it was also reportedly performed on western women, especially in the United States, even in the 1950s as a cure to ‘unnatural female sexual behaviour’ that ranges from homosexuality, female masturbation to depression. References to ‘genital altercations’ in the Western countries are also not unfamiliar. In fact, Obiora also mentions that there are accounts of an English gynaecologist Isaac Baker Brown expressing his clear endorsement of such altercations in the early 1800s.

To talk about India, the practice is prevalent among the Bohra community who came to the Western part of India from the North-African region as a trading community. The defenders of the practice in the community justify this as a stand-alone practice of khatna which, unlike other grave forms of it, only comes to denote removal of a pinch of clitoral skin bereft of its harmful effects. In this regard, often local circumcisers are being replaced by the medical professionals to highlight the hygienic conditions of its performance and gain greater legitimacy in its favour.

On a whole, the practice has transformed and evolved dynamically since its origin. FGC through the course of its evolution came up with multiple facets and spread across cultures and geographic regions with various manifestations, meanings and narratives being attached to it. Tracing its origins, thus, not only helps in understanding its nuances but also minimises the tendency towards its homogenisation.

More about Debangana: 

Debangana is a doctoral scholar at the Centre for International Politics Organisation and  Disarmament (CIPOD), Jawaharlal Nehru University. Through her research, she is trying to locate the existing Indian discourse surrounding the practices of FGM/C and Hijab into the frame of international politics. If you would like to connect with Debangana, you can reach her at This email address is being protected from spambots. You need JavaScript enabled to view it..

Sahiyo’s Maria Akhter has been nominated to receive the Global Woman Award in the “Student Ambassador” category, on Friday, October 26, 2018, in Washington, D.C.  The awards are given by the Global Woman P.E.A.C.E. Foundation to people who do a great deal to protect girls and women from various types of violence, including FGC.  The Global Woman P.E.A.C.E. Foundation is a 501c3 non-profit organization, located in the Washington, D.C. with the mission to empower women and girls through education to help eradicate gender-based violence, with a primary focus on the campaign against female genital mutilation (FGM). In October 2015 the organization launched the Global Woman Awards, to recognize the exceptional work of individuals in the advocacy of the empowerment of women and girls.  

Click here to learn more about the Global Woman Awards and the annual 5K Walk Against FGM organized by the Global Woman P.E.A.C.E. Foundation.

By Bhavya Singh

Since the recognition of the presence of Female Genital Cutting (FGC) in parts of Asia, Africa and the Middle East, efforts have been made to eliminate it in these areas. At the international level, elimination of Female Genital Mutilation is a part of Sustainable Development Goal number five, which seeks to achieve gender equality. Organisations like WHO, UNICEF and UNFPA have worked for greater involvement of the international community to advocate against FGC. These efforts include creation or reformation of laws at the national level to counteract the issue. Legislation at the national level, however can be a complex issue as this practice is very deeply entrenched in the social fabric of the communities in which it occurs. Countries which have criminalised FGC continue to face problems, as punishment alone is not enough of a deterrent in a community where FGC is connected to tradition. In other countries, the implementation of the law has not been successful and has not seen prosecutions occuring. Communities themselves have resisted the effort to ban the practice, often arguing with officials who arrest those involved with carrying FGC out.

According to the UN, FGC has reduced by 24% since 2001, however, at the same time if FGM continues at the same pace it currently occurs, around 68 million girls around the world will be affected by it by 2030. Thus legislative efforts have not been effective deterrents in most countries.

To further understand the legislative framework regarding the issue, this blog series will explore the laws in place in countries affected by FGC in Africa, Asia and the Middle East. 

In Africa, FGC is criminalised in 18 of the 28 countries it is reportedly practiced in. Criminalisation is only the first step in ending the problem. This fact is illustrated by the situation in Egypt where a law prohibiting FGC has been in place since 2008, but only two cases regarding FGC related deaths have been reported in the years following. According to 28 Too Many the law in Egypt is mentioned in Article 242-bis and Article 242-bis(A) of Law No. 58 of 1937 promulgating the Penal Code. The penalties for violation of the law include:

• Article 242-bis – the performance of FGC is punishable with imprisonment for between five and seven years.

• Article 242-bis – where the performance of FGC results in permanent disability or death, the punishment is increased to ‘aggravated’ imprisonment for between three and fifteen years.

• Article 242-bis(A) – anyone who requests FGC is punishable with imprisonment from one to three years if the mutilation is carried out.

In 2016, an amendment upgraded the performance of FGC from misdemeanour to felony. Where a charge of misdemeanour earlier meant a penalty ranging from three months to five years, it now ranges from five to seven years. The provisions of the previous law had gaping holes, including exempting genital injuries with sufficient medical justification. As a result, FGC moved from hidden corners into medical hands. According to 28 Too Many, 78.4% of incidences of FGC are done my health professionals. The widely covered death of Soheir al-Batea brought this issue to light. A thirteen-year-old, she died at the hands of Dr. Raslan Fadl who performed the procedure. What is surprising here is the fact that despite existence of the law against FGC since 2008, Dr. Fadl is the only health professional to have been implicated for the crime. (See ‘A Small Nick or Cut, they say…’ by Priya Goswami)

This, more than anything, makes it clear that the existence of law is not enough to end FGC. The need to conform to societal norms is so strong that people are ready to break the law for its sake. Also, in many communities, honour and pride are strongly associated with notions of women’s purity. Female circumcision, which it is often also referred to, is falsely propagated as a marker of purity, which makes FGC difficult to erase, as people value honour over a women’s safety, comfort or hygiene. Another reason why change is challenging is because the harbingers of change are often considered ‘outsiders’ instead of part of the community. The attempt at reform by these ‘outsiders’ is often viewed as propaganda against the community rather than upliftment of the community and concern for its community’s wellbeing.

What will help is the inversion of societal notions. If FGC is seen as honourable, people should be made to see the reasons why it is quite the opposite, so it can be dissociated from honour. If FGC is seen to be a requirement for marriage, it needs to be seen as a deterrent instead. If FGC is seen as religiously sanctioned, people need to be made aware how it is not. The long-term solution involves changing the mindset such that FGC is recognised as harmful.. As seen in this blog’s case scenario, penalising an act that much of a society does not think a criminal offense in itself will not lead to the desired solution.

 About Bhavya Singh:  

Bhavya is 19 year old law student who has a deep interest in human rights and political theory. She is the happiest when extremely busy and wants to use her law degree to help as many people as she can. Always willing to talk about fashion and sitcoms, her other two passions, and she is hungry for new experiences and challenges to be thrown at her.

(This article is Part 4 of a seven-part series on trauma related to Female Genital Cutting. To read the complete series, click here. These articles should NOT be used in lieu of seeking professional mental health and counseling services when needed.)

By Joanna Vergoth, LCSW, NCPsyA

When discussing psychosexual functioning following FGC, it is critical to acknowledge and recognize that many women who have undergone FGC will not experience sexual health problems. It is also important to note that many women with intact genitals do experience sexual difficulties. Female sexuality is a complex integration of biological, physiological, psychological, sociocultural and interpersonal factors that contribute to a combined experience of physical, emotional and relational satisfaction.

Nevertheless, symptoms of Post Traumatic Stress Disorder (PTSD) can interfere across the continuum of sexual behavior affecting desire, arousal, physical and/or psychological pleasure. The amygdala is the organ in the brain that alerts us to possible danger and responds to the danger by triggering the fear response along with the release of the stress hormones.  A state of negative hyperarousal persists for those who have been re-triggered by some person, place or memory associated to the original trauma while suffering from PTSD (see The Body and The Brain). 

For some women affected by Female Genital Cutting (FGC), re-traumatizing triggers can be their initial (and ongoing) sexual experiences. Not only can the physical position (identical to that required for FGC) induce a flashback, but the already traumatized genital area can feel repeatedly violated with sexual activity, gynecological exams—or childbirth itself. [Note. in Sahiyo’s Exploratory Student on FGC in the Bohra community, 108 women reported that their FGC (khatna) had adversely affected their sex life – See Graph below]

When these flashbacks occur the brain’s fear circuitry takes over and the hippocampus can no longer communicate effectively with the amygdala to allay its fears. This condition often leaves those affected feeling emotionally charged with generalized fear(s) that persist even after the traumatic event has passed. (See also ‘The Clitoral Hood – A Contested Site’)

There are 3 primary psycho-sexual complications commonly associated with FGC:

• painful intercourse (may be due to narrowing of vaginal canal; or excessive scarring, or clitoral neuromas, or infibulation or chronic infection);

• difficulties reaching orgasm;

• and, absence or reduction of sexual desire. 

Sexual difficulties can occur because for FGC survivors, positive sexual arousal mimics the physiological experience of fear. Once these hormonal and neuroanatomical associations have been forged through the intense experience of trauma and the associated PTSD symptoms, it can be difficult to uncouple them.

In these instances, arousal frequently signals impending threat rather than pleasure. Thus, the biology of PTSD primes an individual to associate arousal with trauma and this impairs the ability to contain the fear response—which in turn impedes sexual functioning and intimacy.

Due to repeated pain during sexual activity, women may develop anxiety responses to sex that restrict arousal and increase frustration—all of which can contribute to vaginal dryness, muscular spasm, painful intercourse and/or orgasmic failure. Women may actively avoid sexual activity to minimize feelings of physical arousal or vulnerability that could trigger flashbacks or intrusive memories. Others have reported that merely the fear of potential pain during intercourse and the frustration around delayed sexual arousal contributes to the lack of sexual desire. Recurring pain triggers memories adversely affected by the cutting. Chronic pain and distasteful memories reinforce each other and create a situation of mutual maintenance.

Emotional and/or physical pain during intercourse diminishes the enjoyment of both the woman and her partner. Complications such as these can contribute to feelings of worthlessness, inhibit social functioning and increase isolation. In fact, many women have expressed feelings of shame over being different and ‘less than’. Some may experience their circumcised genitals, now deemed ‘different’, as shaming. Others may feel responsible for the relationship distress that results and carry a burden of guilt for being unavailable to “provide” sex. They may perceive their anxiety and difficulty about permitting penetration as something they must overcome.

The psychological issues for younger women who have undergone FGC and are living in Westernized societies may be especially complex. These women (and their partners) are subjected to different discourses of sexuality that centralize erotic pleasure and frame orgasm as the endpoint of sex for women and men. Some women may struggle with what are deemed irretrievable losses. Feelings of aversion may extend beyond sex to physical closeness or even intimate relationships in general. In other situations, a woman may feel inferior to other women or less entitled to positive relationships, so that she may engage in an unsatisfactory or even damaging relationship which could further diminish her self-esteem. Another underlying belief behind FGC is that women’s genitals are impure, dirty or ugly if uncut. As a result of this perception, the female body is viewed as flawed—forcing women to modify their physical appearance to fit standards far removed from health, well-being and gender-equality objectives.

Unfortunately, the very nature of this subject often doesn’t allow for much insight, since FGC has always been shrouded in secrecy. Women may be reluctant to disclose because of the fear of being judged, since FGM/C is perceived by outsiders to be illegal, and abnormal. The belief that sexual matters are to be kept private also makes FGC-affected women inclined to keep quiet about their symptoms and suffer in silence or attribute their pain to other sources. However, healing from the trauma through talk therapy as well as open discussions about strategies for obtaining sexual pleasure after FGC can be critical for women to regain control of their sexual identity.

 For more information about the Psychosexual Consequences affecting the Clitoris see Trauma and Female Genital Cutting, Part 5: The “C” Word…and I Don’t Mean Circumcision.

About Joanna Vergoth:

Joanna is a psychotherapist in private practice specializing in trauma. Throughout the past 15 years she has become a committed activist in the cause of FGC, first as Coordinator of the Midwest Network on Female Genital Cutting, and most recently with the creation of forma, a charity organization dedicated to providing comprehensive, culturally-sensitive clinical services to women affected by FGC, and also offering psychoeducational outreach, advocacy and awareness training to hospitals, social service agencies, universities and the community at large.

By: Nada Qamber
Country: Kingdom of Bahrain

The day I heard about Female Genital Mutilation (FGM), my jaw dropped. A friend of mine who has grown to become one my closest friends was a victim of this practice. When she told me, my heart broke. I never thought that any culture could do that to their little girls and think that it’s okay. Harming a woman’s gift from the universe is a practice that must be changed across the world. It’s an awful experience to go through at such a young age. Today, I’m not going to bash the cultures that practice this, but praise its strong survivors.

I don’t know much about the communities that practice this requirement, nor do I purely understand their reasons behind it, but I know enough to support the idea that young girls should grow up without experiencing pain like this. Children shouldn’t have to block a horrific memory from their minds and get flashbacks of it later in their lives.

So, I praise you, my fellow women. You have gotten your stems cut off while you were just a flower bud and were left to grow up with a scar that didn’t make sense for so many years. You are still growing.

I praise you, my fellow females. You have gone through a dreadful experience that your mothers forced upon you, and cried until your lungs were sore. You have a voice.

I praise you, my fellow ladies. You fought your mothers, your grandmothers, your aunts, and the person who did this to you. You have courage.

I praise you, my fellow badass warriors. You know that you cannot change what happened to you but you are fighting to change the lives of young girls after you. You are fierce.

Finally, I praise you, fellow beauties, for your growth, your voice, your courage, and your strength to fight to change the minds of the force-makers, the religious leaders, the head of the household, and most of all, fight for the lives of young girls. You have power.

Coming in as an outsider who was fortunate to be spared from this practice, my heart goes out to all of you who went through this experience, and I pray that all of us together are strong enough to make a change and let future girls live a fruitful childhood.

Sahiyo is deeply concerned about the Indian government’s repeated contradictory positions on the problem of Female Genital Cutting (FGC) in the country. In the span of just 13 months, India’s Ministry for Women and Child Development has flip-flopped on its stand on FGC at least twice.

Its latest u-turn came on Wednesday, June 27, when the Ministry mentioned, in the middle of a larger press release, that “Female Genital Mutilation” is “not practiced in India”. This is clearly at odds with the stand that the central government took in the Supreme Court just two months ago, when it stated that FGC is “already an offence” under Indian law and asked the Court for guidelines on how to tackle the challenge of FGC.

This is not the first time that the government has made contradictory statements about FGC, which is called Khatna or Khafz by the Bohra community and female Sunnath by FGC-practicing communities in Kerala.

Such flip-flops leave FGC survivors in the lurch, unsure of whether their government is likely to support the end of a practice that continues to harm so many women and girls in India.

The first time

Female Genital Cutting (also called Female Genital Mutilation) involves cutting parts of the female genitalia for non-medical, often religious or cultural reasons. In India, the kind of FGC practiced by the Bohras and some communities in Kerala typically involves cutting a part or all of a young girl’s clitoral hood. The practice can have a variety of physical, psychological and sexual consequences on the health of women and girls.

Maneka Gandhi, the Minister for Women and Child Development, first publicly acknowledged the practice of FGC in India in May 2017, a month after an independent lawyer petitioned the Supreme Court asking for a ban on FGC. The Court sought a response from the government and Gandhi stated that the practice of FGC would be considered a criminal offence under provisions of the Indian Penal Code as well as the law against child sexual abuse. She also stated that her Ministry would write to the Syedna (the leader of the Dawoodi Bohra community) and ask him to “issue an edict to community members” to give up FGC voluntarily. If the community does not give up the practice, Gandhi said, the government would introduce a specific law against FGC.  

This was a welcome stand by the government, but it was contradicted seven months later. In December 2017, during a hearing of the petition against FGC, Gandhi’s ministry told the Supreme Court that “there is no official data or study” that supports the existence of FGC in India. While this is technically correct, it is dismissive of the many survivor testimonies that have been presented to the Ministry through petitions and personal meetings with survivors and activists. The statement is also ironic, because “official” data can only exist if the government actually commissions such research studies on FGC, which it has not yet done.

After this frustrating statement, the government gave FGC survivors hope again in April. At another Supreme Court hearing, the government’s attorney unequivocally acknowledged the practice of FGC in India, described it as an offence under provisions of existing Indian laws, and asked the Court itself to help issue guidelines on how to end FGC in communities.

Now, with it’s latest press release, the government is back to flip-flopping on the issue.  

The second time

The Ministry’s June 27 press release was a refutation of a new poll by the Thomson Reuters Foundation, which found India to be “the world’s most dangerous country for women”, based on a perception survey of 548 experts on women’s issues from around the world. The survey results identified a list of 10 countries that are currently perceived to be the most dangerous for women.

The poll evaluated each country on six key parameters: health, discrimination, cultural & religion, sexual violence, non-sexual violence and human trafficking. India was ranked number one (most dangerous) one three of these parameters: sexual violence, human trafficking and culture & religion. It also ranked as most dangerous overall, followed by Afghanistan, Syria, Somalia, Saudi Arabia and others.

It is the parameter of “culture and religion” that specifically concerns us here. This parameter includes practices such as child marriage, forced marriage, female foeticide, punishment through stoning or mutilation as well as Female Genital Mutilation/Cutting.

The Indian Ministry for Women and Child Development did not take kindly to the Thomson Reuters poll, and issued a defensive press release dismissing the poll as unscientific and not based on data. It is no secret that women’s rights and freedoms are regularly trampled upon in India, and the Ministry’s sour-grapes reaction to the perception poll has already been critiqued in the media.

What struck Sahiyo’s attention is this particular statement in the Ministry’s press release: “The six questions posed as part of the poll cannot fairly be applied to all countries. E.g. the age bar for defining child marriage is different in every country, mutilation as a means of punishment, female genital mutilation, stoning etc. are not practiced in India.” [Italics added]

To claim that Female Genital Cutting is not practiced in India is a blatant falsehood, and it comes from a government that has already publicly acknowledged the prevalence of FGC in India twice before.

It comes from a government whose ministry has personally met with survivors and activists in the past year and assured them that it is keen to end this practice.

It comes from a government whose minister has claimed she would appeal to the Bohra Syedna to end the practice of FGC in the Bohra community.

It comes from a government that has officially told the highest Court of this country that FGC is already a crime in India, under the Indian Penal Code and the Protection of Children from Sexual Offences Act.

It comes from a government that must surely be aware that FGC is practiced not just by Bohras but also by other groups in Kerala, because in August 2017, the government of Kerala ordered a probe into reports about “Sunnath” being carried out on girls in the state.

It comes from a government that must surely have read the headlines when Member of Parliament Shashi Tharoor released a study that found a 75% prevalence rate of FGC among Bohras.

Why, then, is the government now claiming that FGC is not practiced in India?

It appears that the Ministry for Women and Child Development is willing to deny the existence of practices that harm actual women in the country, simply for the sake of defending an abstract notion of national pride in the face of a survey that reveals the world’s negative perceptions of India. This is a distressing betrayal of all the women and children who have suffered the harmful consequences of FGC, as well as any woman who may have hoped for support from a Ministry meant for her welfare.

Sahiyo appeals to the central government and the Ministry of Women and Child Development to retract its claim that FGC is not practiced in India. We also appeal to the Ministry to commission research on the practice of FGC in India, so that it can design sensitive policies to help communities end FGC.

(Sahiyo has been petitioning global agencies to invest in research on FGC in Asia. Support Sahiyo’s petition by clicking here.)