Female Genital Mutilation / Cutting (FGM/C)
Conditions
Keywords
Clitoral Reconstruction (CR), Psychosexual care (PC)
Brief summary
Surgical interventions to reconstruct the vulva together with psychosexual care have been proposed as a multidisciplinary care concept for women who have undergone female genital mutilation/cutting (FGM/C). This cross-sectional study is to assess the experiences of multidisciplinary care of women who request CR at Geneva University Hospital (HUG) in order to analyze the expectations and motivations for clitoral reconstruction, to study the reasons for deciding against or in favor of CR and to study the outcome of the care received (CR+ psychosexual care versus psychosexual care alone) in sexual response, eventual dyspareunia, genital self-image and overall satisfaction through questionnaires.
Interventions
Questionnaires to evaluate the satisfaction with treatment, the motivations and expectations for the treatment, the general well-being, the sexual function and the genital selfimage
Sponsors
Study design
Eligibility
Inclusion criteria
* Signed informed consent of the present study * French and / or English speaking
Exclusion criteria
* Insufficient knowledge of project language (French/English) * No informed consent * Inability to sign consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| General satisfaction with multidisciplinary care | one time assessment at baseline | General satisfaction with multidisciplinary care rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| General satisfaction with subdomain CR alone | one time assessment at baseline | General satisfaction with subdomain CR alone rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
| General satisfaction with subdomain psychosexual care | one time assessment at baseline | General satisfaction with subdomain psychosexual care rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
| General satisfaction after CR with sexual response | one time assessment at baseline | General satisfaction after CR with sexual rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
| General satisfaction after CR with genital image | one time assessment at baseline | General satisfaction after CR with genital rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
| General satisfaction with subdomain CR and psychosexual care | one time assessment at baseline | General satisfaction with subdomain CR and psychosexual care rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
| General satisfaction after CR with female identity | one time assessment at baseline | General satisfaction after CR with female identity rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
| Female Genital Self Image Scale (FGSIS) | one time assessment at baseline | The FGSIS is a measurement instrument consisting of seven items to assess female genital self-image. The questions relate to women's feelings and beliefs about their own genitals. A total score is calculated using a four-point response scale (strongly agree, agree, disagree, and strongly disagree). |
| World Health Organization (WHO)-Five Well-Being Index | one time assessment at baseline | The WHO-Five Well-Being Index is a questionnaire consisting of five questions to assess wellbeing. For each question, scores from 0 to 5 can be given. By adding up the values for the answers, a total value is obtained, whereby a low total value corresponds to low well-being |
| General satisfaction after CR with pain | one time assessment at baseline | General satisfaction after CR with pain rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied) |
Countries
Switzerland