, 6 tweets, 2 min read Read on Twitter
G. Heinrichs reporting on new meta-analysis of sexual function following FGM/C. Attempted meta-regression 2 control 4 potential confounding contextual/demographic variables but there was not enough data: those factors not routinely/robustly collected in studies on sexual function
Question: is there a "dose response" w. more severe forms of FGC associated w. greater dysfunction than less severe forms? Control group score about 26 (near sexual dysfunction line on FSFI!); in Type I, score about 25, not far different; but Types II, III trend to lower scores.
Limitations: most data evidence grade is very low to moderate; not all studies had control groups; 5/17 studies did not use exam confirmation of FGM type, demographic factors not routinely collected to allow for controlling of potential confounds.
Audience member: we must remember that FGC comes in many different types, with different tools, different levels of skill, different sterilization standards, etc., and so we have to separate potential sources of trauma from notion that FGC is a 'standardized surgical procedure'
Audience member: the WHO typology is itself a problem: in Type III for example, this sometimes involves cutting of external clitoris, sometimes not (clitoris intact). By grouping these together & running data analysis on WHO typology, we get uninterpretable outcomes.
Problem: measures of sexual function do not capture whole range of subjective sexual experience (common problem in studies of sexual outcomes following cutting as I argue here onlinelibrary.wiley.com/doi/abs/10.100…); many women w. Type III in clinical practice show "normal sexual function"
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Brian D. Earp
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!