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Cervical dysplasia among migrant women with female genital mutilation/cutting type III: A cross sectional study.

PMID: 34498291 (view PubMed database entry)
DOI: 10.1002/ijgo.13921 (read at publisher's website )

Albertina Frick, Alicia Azuaga, Jasmine Abdulcadir,

<h4>Objective</h4>To assess the rate of cervical dysplasia in a population of migrant women with FGM/C type III who attended a specialized clinic for FGM/C.<h4>Methods</h4>Descriptive retrospective cross-sectional study reviewing electronic medical records of all infibulated women who attended a specialized clinic for women and girls with FGM/C at Geneva University Hospitals (2010-2016). We examined socio-demographic characteristics, parity, FGM/C subtypes, presence/grade of cervical dysplasia, colposcopy follow-up/treatment, infections, history of sexual violence.<h4>Results</h4>Out of 360 women reviewed, 188 women with FGM/C type III were included. Mean age of the women was 37.7 (± 5.14) years. They were mostly from East Africa (n=116, 61.7%). 60% (n=113) had undergone defibulation, the majority (92.9%, n=105) without undergoing reinfibulation. Cervical dysplasia was found in 10.6% (n=20): 8.5% (n=16) had a L-SIL or ASCUS HPV positive, 2.1% (n=4) had a H-SIL, of which one was a carcinoma in situ. Women with dysplasia underwent colposcopies regularly in 35% of the cases (n=7), irregularly in 25% (n=5) and dropped out of colposcopy follow up in 40% (n=8).<h4>Conclusion</h4>Cervical dysplasia is frequent among women with FGM/C type III and efforts should be made to guarantee follow up for migrant women.

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2021, :]

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