Female genital mutilation and the weasel words, genital cutting  

Founder of the AHA Foundation, Ayaan Hirsi Ali, writes:

“The recent news that a grand jury in Michigan has indicted three people, including two doctors, for female genital mutilation is a welcome development.”

As an African who was subjected to FGM, now living in the West, allow me to help bridge that gap by explaining what we’re really talking about beneath the weasel words ‘genital cutting’.

There are five types of female genital mutilation performed on girls from as young as five years of age. Four of them are unarguably mutilation, and the other is designed to symbolize mutilation. I will start with the mildest.

1. The ‘nick’: The girl is held down, her legs pushed apart and a needle is used to prick her clitoris. The incision is similar to a finger prick test for diabetes, blood comes out and the girl is considered ‘cleansed’. Often there is a ritual with a little party to celebrate the procedure.

2. ‘Female circumcision’: The second method in terms of severity is often compared to male circumcision. The hood of the clitoris is cut off, in some cases the tip of the clitoris is cut off, known as clitoridectomy. In this form, an otherwise normally functioning body part is sliced off and thrown out. Disfiguring a little girl’s genitals in this way cannot rationally be considered anything but mutilation.

3. Intermediate infibulation: In the third form of FGM, as much of the clitoris as possible is dug out and removed. The inner labia are cut off and the outer labia are sewn together leaving two small holes for urination and menstruation. In places where this is done without ‘medical intervention’ girls have been known to bleed to death. After infibulation is done it is imperceptible what has taken place when the girl stands up with her legs together, but in the obstetrician’s position it is clearly visible that parts of her genitals have been removed and sewn up.

Sadly, we are only just past half way and female genital mutilation gets worse. No doubt setting out these practices in detail is disturbing but it is crucial that we speak openly about what is taking place rather than shroud it in euphemism so as not to cause offence.

4. Total infibulation: In the fourth type of FGM the clitoris and inner labia are cut off and the outer labia are cut or scraped off too, then sewn up. When the girl stands, even with her legs closed, her genitals clearly look different.

5. Vaginal fusing: In the fifth type of FGM, which is rarely discussed, all of the fourth type is done and then the inner walls of the vagina are scratched to cause bleeding and the sewing is again done. The girl’s feet are tied together in an effort to fuse the two sides of the vagina with scar tissue to close it up. Children can die undergoing this.