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Issue Info: 
  • Year: 

    2025
  • Volume: 

    16
  • Issue: 

    3
  • Pages: 

    59-92
Measures: 
  • Citations: 

    0
  • Views: 

    5
  • Downloads: 

    0
Abstract: 

One of the types of violence against women is genital mutilation, such as Circumcision, which causes physical, sexual or psychological harm or suffering to women and is caused by cultural and social issues and has received less attention. The aim of the present study is to examine the “lived experience of the socio-cultural contexts of female genital mutilation centered on “Circumcision” in Hormozgan Province”. Data were collected using a social interpretive approach and a qualitative method using in-depth interview techniques. Based on the purposeful snowball sampling method and the theoretical saturation criterion, fifteen people participated in this study and their lived experience in relation to the lived experience of female genital mutilation centered on “Circumcision” was studied and analyzed. The analysis of information and the presentation of the final theory are based on the grounded theory method. According to the findings, the central category that indicates the impact of religious and family institutions in the continuation and “reproduction of the traditional pattern” has been. The causal conditions for the formation of the central phenomenon as perceived by the participants include: deception, inexperience, passivity, fear, disturbing feelings or perceptions. The conditions of various intervening factors include: traditionalism, obligation of religious norms, gender stereotypes, repressive stereotypes and cultural alienation. In order to oppose the phenomenon and interrupt it, the activists also use strategies such as: escape strategies (escape, delay) and gender empowerment. The consequences of using the strategies of the participants are: withdrawal, feminine deficiency, physical, mental and emotional damage, dissatisfaction and social confrontation. Extended Abstract 1. Introduction Female genital mutilation (FGM) not only lacks any medical or health benefits but also represents a form of violence and sexual abuse against girls and women. This practice jeopardizes women’s health and leads to numerous complications, including uterine infections, severe pain during sexual intercourse, frequent urination, and persistent bleeding. Violence against women transcends class, race, nationality, age, religion, and ideology, and FGM—often referred to as cutting or circumcision—is one manifestation of this global phenomenon. It inflicts physical, sexual, and psychological harm and persists due to entrenched cultural and social norms that have received limited scholarly attention. Opposition to FGM has become a major concern for women’s rights advocates, human rights activists, social movements, and international organizations such as UNICEF and the United Nations. The most extreme forms of this practice have devastating effects on women’s physical and psychological well-being and can even result in death due to bleeding or infection. This study aims to examine the socio-cultural contexts of FGM in Hormozgan Province, focusing on the lived experiences of women who have undergone cutting. It seeks to answer the following questions: What are women’s lived experiences of FGM in Hormozgan Province? What are the socio-cultural foundations of this practice? What are its main consequences? And what strategies can help prevent or reduce it? 2. Methodology This qualitative study employs grounded theory to explore the lived experiences and socio-cultural foundations of FGM. Participants were selected through theoretical and snowball sampling, resulting in a group of 15 women from Hormozgan Province in 2022–2023. Interviews continued until data saturation was reached. Data collection was based on semi-structured interviews, and new participants were recruited according to emerging concepts and categories derived from the grounded theory framework. The data were analyzed through open, axial, and selective coding, leading to 289 initial concepts condensed into 42 subcategories and 17 core categories. These were integrated into a paradigmatic model consisting of causal conditions, intervening conditions, strategies, and consequences centered around the core phenomenon. To ensure validity, interviews included women of different ages and social backgrounds. Continuous comparison of data, triangulation with national and international studies, and conceptual saturation strengthened both internal and external validity. 3. Findings Causal conditions showed that family decisions regarding cutting are shaped by local normative pressures, fear of moral stigmatization, and gender stereotypes. Mothers, often influenced by elder female relatives, face a conflict between preserving family honor and protecting their daughters’ bodily integrity. Contextual and intervening conditions revealed that local customs outweigh religious mandates, with religion serving more as a legitimizing discourse than a genuine obligation. Ritual adherence—embedded within an “economy of morality” that links honor to control over female sexuality—plays a decisive role in maintaining the practice. Although some participants referred to strict Shafi'i interpretations, analysis showed these beliefs were intertwined with misinformation and limited access to alternative medical or religious perspectives. The findings also indicated that women’s strategies evolve over time. In childhood, strategies such as silence, avoidance, and endurance prevail, while in adulthood, negotiation, persuasion, alliance-building, and consulting midwives or physicians emerge as active strategies. These actions expand through storytelling, reframing of shame and honor, and social media advocacy. Education, urbanization, and exposure to external influences further strengthen this transformation. The consequences are both physical and psychological: pain during intercourse, reduced pleasure, difficulty achieving sexual satisfaction, feelings of bodily violation, and traumatic recollections. A notable insight is women’s dual role—as both subjects of the practice and agents of its reproduction or transformation. Female leadership within families can either reinforce traditional norms or catalyze change when supported by education, networks, and alternative knowledge. 4. Conclusion The conceptual framework integrates causal and intervening conditions, strategies, and consequences into a coherent model centered on the reproduction of male-centered subjectivity upon women’s bodies. This reproduction is sustained through ritual legitimacy, bodily discipline, and intergenerational transmission within kinship-based family structures and the moral economy of honor. However, intervening factors such as education, urbanization, culturally sensitive health services, and access to alternative narratives open cracks in this structure. Depending on women’s access to resources and alliances, these cracks may widen, allowing for critical forms of female agency to emerge. Consequently, outcomes range from the reinforcement of patriarchal control to the rise of a new female subjectivity that redefines bodily dignity and social value.

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Issue Info: 
  • Year: 

    2022
  • Volume: 

    16
  • Issue: 

    4
  • Pages: 

    264-271
Measures: 
  • Citations: 

    0
  • Views: 

    34
  • Downloads: 

    15
Abstract: 

Objective: Studies on the sexual consequences of female genital mutilation is mostly related to sexual function, while sexual quality of life is a more objective criterion for studying the effects of genital mutilation on the women's sexual life. The purpose of this study was to compare the sexual quality of life and marital relationship in the mutilated women with other women living in the Kurd region of Mahabad (Iran). Materials and methods: In a case-control study, 600 married women (300 mutilated and 300 non-mutilated women) who referred to the health centers completed the sexual quality of life questionnaire (SQOL-F) as well as demographic questionnaires. Data analyzed using chi-square, independent t-test, and linear regression model with stepwise method at 95% confidence level. Results: The mean total score of sexual quality of life in the mutilated group (40. 28±, 16. 76) was significantly lower than the control group (45. 29±, 19. 16). The chance of having a higher score of sexual quality of life in the mutilated group was 0. 13 times lower than the control group. This value was 0. 16 times for self-worthlessness area, 0. 10 for sexual repression, 0. 12 for psycho-sexual feeling, and 0. 32 for sexual and marital satisfaction areas (p <0. 05). In the mutilated group, the total score of sexual quality of life was significantly correlated with age, income, spouse's violence, spouse's infidelity, intercourse frequency, and residence status (P <0. 05). Conclusion: Female genital mutilation can decrease the sexual quality of life and increase the chance of negative consequences such as spouse violence, infidelity, and intercourse reduction.

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Journal: 

PAYESH

Issue Info: 
  • Year: 

    2008
  • Volume: 

    7
  • Issue: 

    3
  • Pages: 

    269-278
Measures: 
  • Citations: 

    10
  • Views: 

    11584
  • Downloads: 

    0
Abstract: 

Objective(s): To validate Persian version of the FSFI and to determine its diagnostic cut off score. Methods: This was a descriptive analytic study. To fill in the Persian version of the FSFI. In addition clinical interviews were carried out by a psychiatrist on DSM-4 criteria. Women divided in two age and educational matched groups: the control group (n=28) who have not sexual dysfunction and the case group (n=53) who have sexual dysfunction. Data were analyzed by Cronbach’s alpha and validity was assessed by comparing mean scores of two groups. Optimal cut off score determined by Receiver Operating Characteristic (ROC) curve. Results: The findings showed satisfactory results for full scale and each subscale with Cronbach’s alpha ranging from 0.66 or above for sexually dysfunctional sample and 0.70 or above for sexually active sample. Discriminant validity confirmed the ability of both total and domain scores to differentiate between active and inactive women. On the basis of sensitivity and specificity analyses we found that the optimal cut off score was found to be 28 for differentiating women with and without sexual dysfunction. Conclusion: The findings showed that the Iranian version of Female Sexual Function Index (FSFI) is a reliable and valid instrument for measuring sexual function in women.

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Journal: 

RESEARCH IN MEDICINE

Issue Info: 
  • Year: 

    2009
  • Volume: 

    32
  • Issue: 

    4
  • Pages: 

    343-345
Measures: 
  • Citations: 

    0
  • Views: 

    801
  • Downloads: 

    0
Abstract: 

Hydroa vacciniforme is a rare acquired photodermatosis which usually presents in childhood. It is characterized by vesicle, crust and scar formation following exposure to sunlight. Vacciniform scars of face and dorsa of the hands are common features but oral ulcers and eye complications also occur rarely. Another rare manifestation of the disease is ear mutilation which is presented in this report.

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    19
  • Issue: 

    25
  • Pages: 

    8-16
Measures: 
  • Citations: 

    0
  • Views: 

    4837
  • Downloads: 

    0
Abstract: 

Introduction: Social tradition may originate from religion or nonreligious root. From long ago, there was female genital mutilation as a social behavior among some ethnic groups. Some people believe that female genital mutilation is a religious obligatory. To understand the accuracy of this assertion, people must know the commands and doctrines divine religions. This study was performed with aim to investigates the views of the heavenly religions of Islam, Christianity and Judaism about female genital mutilation.Methods: Collecting data in this review article was library resources, scientific journals, WHO and UNICEF, databases of Science direct, PubMed, Magiran, Cochran library, Google Scholar, Iran Medex and SID. Time interval for searching references was 2002 to 2016. Information were collected by using the keywords of Female Genital Mutilation, Female Genital Circumcision and Female Genital Cutting along with the keywords of doctrine, Sunni, Shia, Jewish, Christian, Islam and Religion. Data were analyzed qualitatively.Results: From 68 searched articles, 28 articles which met inclusion criteria and were related to the purpose of the study were reviewed. The results showed that although nowadays female genital mutilation is performing by Muslims, Christians and Jews, but Koran, Bible or Torah has not recommended it and don't know it as a mutilation obligatory for girls. Only, Shafei know it necessary to remove the skin of clitoris.Conclusion: In societies where female genital mutilation is done, cultural tradition is dominant on religious convictions; although the advocates for justifying their actions claim that the reason is religious orders.

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    19
  • Issue: 

    11
  • Pages: 

    805-811
Measures: 
  • Citations: 

    0
  • Views: 

    280
  • Downloads: 

    162
Abstract: 

Background: Female genital mutilation (FGM) is one of the important aspects of reproductive health. The economic, social and health consequences of FGM threaten the achievement of sustainable development goals. The purpose of this study was to assess the economic, social and reproductive health consequences of FGM from the perspective of individual, family, community and health system. Methods: In this study, we reviewed 1536 articles from 1979 to 2015. Fifty-one studies were directly related to our goal. Research papers, review articles, case studies and books on the research topic were used. Results: The results of this review showed that most studies on FGM, have investigated health complications of FGM, and few studies 􀁋 􀁄 􀁙 􀁈 􀀃 􀁄 􀁇 􀁇 􀁕 􀁈 􀁖 􀁖 􀁈 􀁇 􀀃 􀁌 􀁗 􀁖 􀀃 􀁖 􀁒 􀁆 􀁌 􀁒 􀁈 􀁆 􀁒 􀁑 􀁒 􀁐 􀁌 􀁆 􀀃 􀁄 􀁖 􀁓 􀁈 􀁆 􀁗 􀁖 􀀑 􀀃 􀀷 􀁋 􀁈 􀀃 􀁆 􀁒 􀁐 􀁓 􀁏 􀁌 􀁆 􀁄 􀁗 􀁌 􀁒 􀁑 􀁖 􀀃 􀁉 􀁕 􀁒 􀁐 􀀃 􀁗 􀁋 􀁈 􀀃 􀀩 􀀪 􀀰 􀀃 􀁆 􀁄 􀁑 􀀃 􀁌 􀁐 􀁓 􀁒 􀁖 􀁈 􀀃 􀁄 􀀃 􀁖 􀁌 􀁊 􀁑 􀁌 􀂿 􀁆 􀁄 􀁑 􀁗 􀀃 􀁈 􀁆 􀁒 􀁑 􀁒 􀁐 􀁌 􀁆 􀀃 􀁅 􀁘 􀁕 􀁇 􀁈 􀁑 􀀃 􀁒 􀁑 􀀃 􀁌 􀁑 􀁇 􀁌 􀁙 􀁌 􀁇 􀁘 􀁄 􀁏 􀁖 􀀏 􀀃 society and health system. Social consequences of FGM are more irritating than health consequences, so to tackle this practice; its 􀁖 􀁒 􀁆 􀁌 􀁄 􀁏 􀀃 􀁄 􀁖 􀁓 􀁈 􀁆 􀁗 􀁖 􀀃 􀁖 􀁋 􀁒 􀁘 􀁏 􀁇 􀀃 􀁅 􀁈 􀀃 􀁐 􀁒 􀁕 􀁈 􀀃 􀁈 􀁐 􀁓 􀁋 􀁄 􀁖 􀁌 􀁝 􀁈 􀁇 􀀑 􀀃 􀀶 􀁌 􀁊 􀁑 􀁌 􀂿 􀁆 􀁄 􀁑 􀁗 􀀃 􀁖 􀁋 􀁒 􀁕 􀁗 􀀃 􀁄 􀁑 􀁇 􀀃 􀁏 􀁒 􀁑 􀁊 􀀃 􀁗 􀁈 􀁕 􀁐 􀀃 􀁆 􀁒 􀁑 􀁖 􀁈 􀁔 􀁘 􀁈 􀁑 􀁆 􀁈 􀁖 􀀃 􀁒 􀁉 􀀃 􀀩 􀀪 􀀰 􀀃 􀁗 􀁋 􀁕 􀁈 􀁄 􀁗 􀁈 􀁑 􀀃 􀁚 􀁒 􀁐 􀁈 􀁑 􀂶 􀁖 􀀃 􀁕 􀁈 􀁓 􀁕 􀁒 􀁇 􀁘 􀁆 􀁗 􀁌 􀁙 􀁈 􀀃 􀁋 􀁈 􀁄 􀁏 􀁗 􀁋 􀀞 􀀃 Reproductive health is one of the essential prerequisites of sustainable development. Sustainable development will be achieved if women are healthy. This practice can threaten achieving sustainable development. In Iran, FGM is performed in some areas, but there are no 􀁒 􀁉 􀂿 􀁆 􀁌 􀁄 􀁏 􀀃 􀁖 􀁗 􀁄 􀁗 􀁌 􀁖 􀁗 􀁌 􀁆 􀁖 􀀃 􀁄 􀁅 􀁒 􀁘 􀁗 􀀃 􀁌 􀁗 􀀃 􀁄 􀁑 􀁇 􀀃 􀁗 􀁋 􀁈 􀁕 􀁈 􀀃 􀁋 􀁄 􀁖 􀀃 􀁜 􀁈 􀁗 􀀃 􀁅 􀁈 􀁈 􀁑 􀀃 􀁑 􀁒 􀀃 􀁓 􀁏 􀁄 􀁑 􀀃 􀁗 􀁒 􀀃 􀁇 􀁈 􀁄 􀁏 􀀃 􀁚 􀁌 􀁗 􀁋 􀀃 􀀩 􀀪 􀀰 􀀑 Conclusion: FGM is a form of social injustice which women suffer. Ending FGM requires a deep and long-term commitment. Knowing its 􀁆 􀁒 􀁑 􀁖 􀁈 􀁔 􀁘 􀁈 􀁑 􀁆 􀁈 􀁖 􀀃 􀁄 􀁑 􀁇 􀀃 􀁌 􀁗 􀁖 􀀃 􀁈 􀁉 􀁉 􀁈 􀁆 􀁗 􀁖 􀀃 􀁒 􀁑 􀀃 􀁌 􀁑 􀁇 􀁌 􀁙 􀁌 􀁇 􀁘 􀁄 􀁏 􀀏 􀀃 􀁉 􀁄 􀁐 􀁌 􀁏 􀁌 􀁈 􀁖 􀀏 􀀃 􀁗 􀁋 􀁈 􀀃 􀁋 􀁈 􀁄 􀁏 􀁗 􀁋 􀀃 􀁖 􀁜 􀁖 􀁗 􀁈 􀁐 􀀃 􀁄 􀁑 􀁇 􀀃 􀁆 􀁒 􀁐 􀁐 􀁘 􀁑 􀁌 􀁗 􀁜 􀀃 􀁚 􀁌 􀁏 􀁏 􀀃 􀁋 􀁈 􀁏 􀁓 􀀃 􀁖 􀁘 􀁓 􀁓 􀁒 􀁕 􀁗 􀁈 􀁕 􀁖 􀀃 􀁗 􀁒 􀀃 􀁆 􀁒 􀁑 􀁗 􀁌 􀁑 􀁘 􀁈 􀀃 􀂿 􀁊 􀁋 􀁗 􀁌 􀁑 􀁊 􀀃 􀁗 􀁋 􀁌 􀁖 􀀃 􀁓 􀁕 􀁄 􀁆 􀁗 􀁌 􀁆 􀁈 􀀑 􀀃 Any money spent on eliminating this harmful practice, compared with the costs of complications, would not be wasteful. It seems that further studies are needed to assess socioeconomic effects of FGM and the relationship between type of FGM and induced complications. Such studies will help policymakers to tackle this practice.

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Issue Info: 
  • Year: 

    2006
  • Volume: 

    12
  • Issue: 

    1
  • Pages: 

    25-29
Measures: 
  • Citations: 

    0
  • Views: 

    6850
  • Downloads: 

    0
Abstract: 

Background & Aim: Borderline personality disorder (BPD) has been the most studied personality disorder. Some researches have examined the relationship between BPD and most axis I diagnostic classes such as mood disorders, substance related disorders and anxiety disorders. The present study was conducted to determine the differences between BPD with and without OCD, BPD with and without self-mutilation.Methods & Materials: This study is a descriptive- analytic study. A clinical interview was carried out with all patients referred to Imam Hossain hospital with BPD diagnosis and those in whom BPD diagnosis was established on the basis of DSM-IV criteria. Data about sex, education, marital status, job, self -mutilation, suicidal attempt and substance abuse were gathered by a form.Results: Totally 205 BPD patients were evaluated (62.4 %female Vs 37.6 % male). This study showed that the frequency of OCD in BPD is more than that in general population (45.29% Vs 2-3%). There was statistically. significant difference between BPD with and without OCD in terms of sex, age, history of self-mutilation and suicidal attempts and also no significant difference between BPD with and without self-mutilation in relation with substance abuse and suicidal attempts.Conclusion: OCD comorbidity with BPD especially in self-mutilated patients can help clinicians to better understand the psychopathology of BPD and prescribe appropriate medications (e.g. SSRI).

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Issue Info: 
  • Year: 

    2017
  • Volume: 

    6
  • Issue: 

    1
  • Pages: 

    0-0
Measures: 
  • Citations: 

    0
  • Views: 

    295
  • Downloads: 

    144
Abstract: 

Introduction: Late onset bipolar disorder is not common. In addition, bipolar disorder with a dominancy over sexual behaviors is very rare. Hence, traumatic and vigorous sexual behavior, such as masturbation and self-mutilation, are odd and rare occurrences. Case Presentation: An elderly woman in a manic phase of bipolar disorder without a previous history of psychiatric disorders was concomitant with problematic sexual over stimulation in the context of hyper sexuality. She had traumatized her genitals and underwent surgery for their repair. Following her admission and psychopharmacologic therapy, she recovered. Conclusions: The presentation of bipolar disorder in the elderly can be seen in sexual behaviors and self-mutilation that can lead to the need for reparative surgery. In each case with trauma to the external genitalia, psychiatric problems should be considered.

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Issue Info: 
  • Year: 

    2017
  • Volume: 

    20
  • Issue: 

    4
  • Pages: 

    135-140
Measures: 
  • Citations: 

    0
  • Views: 

    257
  • Downloads: 

    188
Abstract: 

Introduction: Female genital mutilation (FGM) comprises of various procedures that damage female genitalia for non-therapeutic intentions, and it offers multidimensional and interdependent effects. Objectives: The aim of this study was to determine whether FGM versus non-FGM couples in Kermanshah in Iran vary in relationship characteristics, such as relationship satisfaction, sexual satisfaction, and mental health.Methods: To achieve this goal of research, a sample of 414 couples (206 FGM couples and 208 normal couples) of Uramanat area in Kermanshah Province, were selected by non-randomized sampling. Enrich Marital Inventory, 25-SCL Mental Health Inventory and the Arizona Sexual Experience Scale were used for data collection. Data were analyzed between the two groups by utilizing independent ttest.The significance level was P<0.05.Results: The findings indicated that there was a significant difference between FGM couples and normal couples. Besides, the results revealed that the two groups of participants had significant differences in mental health, marital satisfaction, and sexual function. Overall, FGM couples compared with normal couples had lower levels of mental health, marital satisfaction, and sexual function.Conclusion: FGM is associated with frequent psychosexual difficulties in Uramanat couples; notably orgasm difficulties, sense of incomplete sexual-needs fulfillment, and neurotic symptoms. Awareness of the psychosexual effects of this operation could help women cope with psychological and psychosexual problems, and could prevent the performing of this inhuman action on others.

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Author(s): 

Amiri Arezoo | AMERI MARYAM

Issue Info: 
  • Year: 

    2019
  • Volume: 

    77
  • Issue: 

    9
  • Pages: 

    600-604
Measures: 
  • Citations: 

    0
  • Views: 

    1975
  • Downloads: 

    0
Abstract: 

Background: Self-mutilation is one of the most extreme types of self-harm, which is done deliberately to hurt the body, regardless of suicidal intent. In self-mutilation, the most important targets are the eyes, genital tract, and hands. So far, genital selfmutilation (GSM) has been less frequently reported around the world. According to our study, this is the first case of GSM reported in Iran. The most common cause of GSM is psychological disorder, especially psychosis. Case Presentation: The patient was an unmarried 32-year-old man, who was hospitalized in Rasul-Akram Hospital in December 2018 for severe bleeding caused by GSM. He was diagnosed with type I bipolar disorder, which was treated from the late adolescence. Also, a history of drug abuse (amphetamine, opium, cannabis, alcohol) and multiple sexual relationships with different partners was reported. He abused tramadol tablets daily nowadays. His IQ was normal. He had lots of abrasions, scars and lacerations due to suicidal attempts in the past years. Two months before GSM, his auditory hallucinations about genital self-mutilation had started. He committed GSM after having sexual intercourse and was transferred to our hospital by an ambulance with severe hemorrhage, scrotum damage, and presentation of both testes, for which he received appropriate treatments. Conclusion: It seems that a set of factors, such as patient's history of psychosis following bipolar disorder, substance abuse, mental retardation, multiple sexual relationships, and strong emotional relationship with the mother can contribute to self-injury that may lead to genital self-mutilation. It should be noted that genital self-mutilation cases are less likely to be reported in Iran, considering the cultural and religious background. Therefore, the pathology of this devastating phenomenon should be more thoroughly examined.

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