Types of Female Genital Mutilation

The former owner of a women’s healthcare clinic, Dr. Maureen Muoneke serves as a medical consultant with the Georgia Division of Aging Services. Dr. Maureen Muoneke also makes frequent trips to Africa where she has worked with American Health Management to develop hospitals and advocated against female circumcision and infibulation practices.

Infibulation, a controversial and injurious procedure, is one type of female genital mutilation (FGM). According to the World Health Organization, FGM refers to any procedure that causes injury to the female genital organs for nonmedical reasons.

FGM provides no health benefits and leads to a range of immediate and long term consequences that range from severe pain and urinary issues to scar tissue and infections. In spite of this, the practice is carried out for sociocultural reasons such as cultural norms and a belief that it prepares a girl for marriage and promotes virginity and marital fidelity. The practice occurs in more than thirty countries, but is concentrated within Africa, Asia, and the Middle East.

Infibulation is one of the more severe types of FGM. It involves removal of the clitoris, labia minora, and most of the labia majora in addition to stitching the vaginal opening closed. Other types of FGM include type 1, where the clitoris is partially or fully removed, and type 2, where the labia minora is removed in addition to the clitoris. For additional information on the consequences and damage caused by FGM, visit http://www.who.int/reproductivehealth/publications/fgm/fgm-obstetric-outcome-study/en/.

Why Endometriosis Is Often Underdiagnosed

Prior to joining Pashka Women’s Care, Dr. Maureen Muoneke owned and operated her own private clinic for nearly a decade. Dr. Maureen Muoneke is an OB/GYN who is highly knowledgeable on conditions impacting the female reproductive system, including endometriosis.

By some estimates, nearly one out of every 10 women in the United States is afflicted with endometriosis, a condition that causes intrauterine tissue to grow on the outside of the uterus. Despite its prevalence, women may experience painful symptoms for years before receiving an accurate diagnosis. Experts believe that a lack of awareness amongst the public and health care providers contributes to low diagnosis rates.

Many women don’t interpret the condition’s symptoms, such as excessive bleeding or intense menstrual cramps, as abnormal. If women do seek treatment, doctors may have difficulty pinpointing endometriosis as the cause since many conditions, such as irritable bowel syndrome and polycystic ovary syndrome, have similar symptoms. Further, common over-the-counter pain medications can mask cramping and pain symptoms, which can also hinder women from seeking medical treatment.

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