Baniukiewicz 1 Allison Baniukiewicz Ms. Troy AP Literature 10 March 2014 Female Circumcision: An Indoctrinated Tradition or Self-Directed Decision Often female circumcision is viewed solely as a violent and brutal procedure forced by men in a patriarchic society. However, in some cases women choose to have this procedure done for aesthetic pleasure. It is important to accurately represent the women who undergo circumcision, and to give evidence to assumptions about female genital mutilation. This essay will discuss and examine the four types of female circumcision and reasoning behind this procedure, and will strive to provide an accurate representation of the viewpoints of women affected. Female circumcision, also referred to as female genital mutilation (FGM) , is defined by the World Health Organization as all procedures involving partial or total removal of the external female genitals or other injury to the female genital organs for non-medical reasons (Moeed and Grover 1). There are four types of classifications of female circumcision. Type I is the removal of the clitoral foreskin. Type II is the removal of the clitoris with partial or total excision of the labia minora. Type I and II account for 80% of all cases of female circumcision (“Seven Things” 21). Type III is the removal of the clitoris with partial or total excision of the labia minora in addition to the orificium vaginae being sewn. Type III is the most severe and leaves only a small opening for urination and menstruation. This type, while most often mentioned, only accounts for 10% of all FGM cases. Type IV refers to any pricking, piercing or scraping of the female genital organs and also accounts for 10% of the cases (Utz-Billing and Kentenich 225). Baniukiewicz 2 The history of female circumcision in Africa is almost non-existent. There is little information regarding when FGM first became present in Africa. However, hieroglyphics found by Australian pathologist Grafton Elliott Smith suggest that circumcisions were performed in ancient Egypt dating back to 1991 BCE. The first evidence of practice outside of Egypt was by Xanthus of Lydia who referred to “castrating their women” which refers to a form of sterilization (Knight 326). Sir Richard Francis Burton recorded cases of FGM of the Nile in 1858 and reported that during the colonial period, female circumcision was debated by various imperial rulers and missionary activities in Africa (Johnsdotter 95). It has also been suggested that female circumcision was present during the slave trade. This data allows us to assume that female circumcision has been present in Africa for an extensive amount of time and has woven its way into many African cultures and traditions. This could explain why so many African women experience the procedure and consider it a rite of passage to womanhood. Over 130 million girls and women have been affected by FGM around the world. About 2 million circumcisions are performed per year on girls of all ages. 30 of the countries where female circumcision is performed are in Africa. This makes up the majority of the countries. While FGM can be and is performed on all ages of women, there are specific characteristics that increase an African’s likelihood of being circumcised. These characteristics vary depending on the tribe, village, or cultural traditions of each woman. Typically, women selected to be circumcised have never attended school. It has also been observed that a woman is more likely to be selected if her mother and/or father have never attended school either. Girls who are circumcised are usually considered sexually ripe and fall around the ages of 15-19 when they begin to be ready for marriage (Mudege et al. 247). This is a prevalent age for female Baniukiewicz 3 circumcision in Africa because for many women it is considered a passage to womanhood and is often performed before marriage. Female circumcision is a controversial topic that Americans often do not understand. This is because in the United States, we rarely experience female circumcision and may not be aware that there is a female equivalent to male circumcision. However, female circumcision is controversial for many more reasons than our unfamiliarity with it. Often after FGM is performed, there are complications that include severe bleeding and HIV along with other infections. Bleeding often occurs from females who have had a Type III circumcision because of tearing at the wound or defibulation, which is the reversal of the closure of the vagina that is often performed before childbirth. If the bleeding is severe enough, the victim may experience temporary or chronic anemia, and in extreme cases, death. It has been found that women that have undergone any type of circumcision are at a higher risk for HIV. This can be due to a number of factors, the most likely being contamination of surgical tools from previous patients. Other infections that have been contracted after circumcision are Dysmenorrheal, a medical condition of pain during menstrual periods that interferes with daily activities, and frequent Urinary Tract Infections due to urine retention (Utz-Billing and Kentenich 225). These infections and conditions are highly correlated with female circumcision (most commonly type III) and are a prime example of the dangers of circumcising women in an improper setting. Because FGM is considered a rite of passage to womanhood and marriage in many countries, there is a tradition during the procedure that determines whether or not a woman is fit for her village and/or husband. If the patient undergoing the circumcision shows signs of pain, she may be kicked out of her family and shunned away (Utz-Billing and Kentenich 227). Women are expected to show only signs of bravery during the ceremony in order to prove their worth to Baniukiewicz 4 their elders as well as their husband. This is a cultural aspect of female circumcision and only applies to villages and tribes who practice this particular type of circumcision; it does not apply to all circumcisions performed in Africa. A small yet important misconception about female circumcision in Africa is that men control the surgery and force all women to undergo this procedure. It is believed that women do not have control of whether or not they receive the surgery, but in most cases elderly women control and perform the circumcisions, and men or patriarchy should not be the only people held responsible for the mutilation of female genitals. There are a number of reasons why female circumcisions are performed in Africa. In a study published in 2006, 500 Nigerian women were asked why female circumcision was performed in their country. 95% of women responded that it was for cultural or traditional reasons, 49% claimed it encouraged faithfulness to a husband, 18% responded that it was for aesthetic reasons, and a few other various answers were received (Utz-Billing and Kentenich 226). This information is valuable because it gives the perspective of African women who have received the circumcision rather than leaving the reasoning behind this procedure up to interpretation. Most women studied in Nigeria agree that the cultural aspect of FGM is important. However, their belief in the reduction of promiscuity due to the circumcision may be due to the repeated views of their ancestors searing into their brain. The women who believe this may have been indoctrinated over time to have female circumcision and do it simply because they feel it is a tradition, rather than choosing for themselves whether or not it will benefit them. The other women who responded that they believed that without the surgery they found the vulva to be ugly. These responses represent the women in Africa who make a self-directed choice about whether or not they want to be circumcised. Even though this number is less Baniukiewicz 5 significant than women who believe the circumcision is for traditional or marital reasons, it is still significant enough to show that not all women in Africa are forced to be circumcised because of a patriarchal society, and that some African women may want to be circumcised simply for aesthetic enhancement. Although female circumcision is present in other continents, it is most prominent in Africa and is commonly used for traditional or cultural reasons. The four types of circumcision all have different effects, the worst being HIV, anemia, and various other infections; however every surgery and medical procedure has risks, and female circumcision should not be considered wrong and harmful solely because of the possibility of disease and infection. Female circumcision is often generalized as patriarchic and oppressive, but this is due to the underrepresentation of the opinions of African women that undergo the surgery. The procedure is in most cases chosen by the woman herself, and can be done for a number of reasons including aesthetic pleasure, reduction of promiscuity, increased faithfulness to husband, or for traditional and cultural reasons. In some cases female circumcision is indeed forced and the performed in insufficient conditions. These cases are devastating and work is being done to help women who are affected in this way by female circumcision, but it is also important to represent all stories and points of view of female circumcision- not only those that are involuntary and/or botched. Accurate media coverage and representation of women who experience the surgery can help to bring female circumcision to the attention of the world in accordance with fact. Baniukiewicz 6 Works Cited Johnsdotter, Sarah. “Projected Cultural Histories of the Cutting of Female Genitalia: A Poor Reflection as in a Mirror” History and Anthropology 23.1 2012: 91-114 Web. March 2014. Knight, Mary. “Curing Cut or Ritual Mutilation? Some Remarks on the Practice of Female and Male Circumcision in Graceo-Roman Egypt” Isis 2001: 317-338 Web. March 2014. Moeed, Saman M., Sonia R. Grover. “Female Genital Mutilation/Cutting (FGM/C): Survey of RANZCOG Fellows, Diplomates & Trainees and FGM/C Prevention and Education Program Workers in Australia and New Zealand” Australian and New Zealand Journal of Obstetrics and Gynecology 2012: 523-527 Web. March 2014. Mudege, Netsayi Noris. Thaddeus Egondi, Donatien Beguy and Eliya M. Zulu “The Determinants of Female Circumcision Among Adolescents From Communities That Practice Female Circumcision in Two Nairobi Informal Settlements” Health Sociology Rev 2012: 242-250 Web. March 2014. The Public Policy Advisory Network ON Female Genital Surgeries in Africa. “Seven Things to Know about Female Genital Surgeries in Africa” Hastings Center Report 2012: 19-27 Web. March 2014. Utz-Billing, I. Kentenich, H. “Female Genital Mutilation: An Injury, Physical and Mental Harm” Journal of Psychosomatic Obstetrics & Gynecology 2008: 225-229 Web. March 2014. Baniukiewicz 7 Allie Baniukiewicz AP English Literature Troy 20 March 2014 A. Johnsdotter, Sarah. “Projected Cultural Histories of the Cutting of Female Genetalia: A Poor Reflection as in a Mirror” History and Anthropology 23.1 2012: 91-114 Web. March 2104. B. Sarah Johnsdotter obtained her PhD in sociology and is a professor in health and science and medical anthropology. Her research focuses mainly on female circumcision, genital modifications, sexuality, and medical anthropology. C. In this paper Johnsdotter discusses the available history of female genital cutting and surgeries. It also attempts to connect history with modern practices, and explain the development of and reasoning for female circumcision over time. D. “Early mentions of female circumcision in Africa are brief and it is difficult to estimate their reliability.” Because early accounts of female circumcision are so rare it is hard to grasp an understanding of how the practice began. This may be one of the reasons the procedure is still so difficult for some people to understand even today- because very few people know and grasp the concept fully from when the ritual began to the present. E. “In many societies, male and female circumcision are regarded as symmetrical practices. It has been suggested that in these societies, female circumcision was often introduced in imitation of the male ritual” This quote refers to the early practices of circumcision in Africa, specifically Sierra Leone. I found this interesting because male and female circumcision were once considered equal, yet only some cultures practice female circumcision, and other only practice Baniukiewicz 8 male circumcision. I would be curious to know the factors that influence whether a country chooses to adopt the tradition of male or female circumcision and what about Africa created such a common practice of female circumcision. F. “The clitoris became a highly politicized part of the body within the feminist movement and consequently, all (African) practices involving cutting of the female genitalia were interpreted as patriarchal attacks on women.” This excerpt gives reasoning behind why female genital surgeries are considered patriarchal attacks on women. This was significant to my research because I strived to represent all interpretations of female circumcision and this excerpt is a prime example of false generalizations of female genital surgeries in Africa. Baniukiewicz 9 Allie Baniukiewicz AP English Literature Troy 20 March 2014 A. The Public Policy Advisory Network on Female Genital Surgeries in Africa. “Seven Things to Know about Female Genital Surgeries in Africa” Hastings Center Report 2012: 19-27 Web. March 2014. B. Information Unavailable C. The aim of this article is to discuss the media coverage of female circumcision. The authors choose to take a non-collective stance of this issue in order to create a more accurate representation of female circumcision cases and facts. This sums up many misconceptions regarding media coverage and fact checking in seven sections. D. “Female genital surgeries in Africa are viewed by many insiders as aesthetic enhancements of the body and are not judged to be ‘mutilations.’” I found this quote interesting because it perceives some cases of female circumcision in a similar way to how many women perceive plastic surgery. When I came across this excerpt, I imagined women in Africa hearing about strange surgeries and injections that women in other countries receive to make themselves younger, thinner, and even bigger in some places. What if African women imagined men forcing women to undergo these surgeries when in reality they are simply aesthetically pleasing, just as we imagine female circumcisions in Africa? E. “Female genital surgery in Africa is typically controlled and managed by women.” This is another quote challenging generalizations about female circumcision that many people from countries that do not practice this procedure experience. It reveals that even though men are Baniukiewicz 10 believed to force and control the surgeries, women are usually making the decisions for themselves about whether or not they want to undergo surgery, women in the community may influence the decisions of girls who may undergo the surgery, and women often perform the procedure. F. “A high percentage of women who have had genital surgery have rich sexual lives, including desire, arousal, orgasm, and satisfaction, and their frequency of sexual activity is not reduced.” I found this quote interesting because many women who undergo female circumcision do so in order to reduce promiscuity and increase faithfulness to their husbands. However, if the women who have been circumcised often continue to be aroused and do not reduce their sexual activity, how is this reasoning valid? It is strongly believed by the elders of communities that the surgery will lead to less sexually active women, so the young women in Africa could be deceiving not only their husbands, but the community about the effects of female circumcision. Baniukiewicz 11 Allie Baniukiewicz AP English Literature Troy 20 March 2014 A. Utz-Billing, I. Kentenich, H. “Female Genital Mutilation: An Injury, Physical and Mental Harm” Journal of Psychosomatic Obstetrics & Gynecology 2008: 225-229 Web. March 2014. B. Kentenich is a doctor and professor whose clinical focus is on fertility treatment, reproductive medicine, gynecological endocrinology, and psychosomatic gynecology. He works at the fertility center of Berlin. Dr. Utz-Billing works at the German Red Cross Hospital. Her work focuses on gynecology and obstetrics. C. This article works to give an overview of the topic of female circumcision. It provides information on the history, causes, effects, and opinions of female genital mutilation. D. “Elderly women mostly perform FGM without any medical knowledge.” This quote is significant because it reveals faults in the assumption that female circumcision is due to the oppression of women and patriarchy. Because most people believe these assumptions about FGM practices in Africa, this quote inspired me to research the under-represented experiences with female circumcision as well as to disprove any misconceptions. E. “95% answered that FGM is performed for cultural and traditional reasons; 49% claimed that FGM helps to prevent promiscuity; 18% found that the not mutilated vulva is ugly; 11% thought that FGM prevents the death of male newborns; 9% reported pressure of relatives as a reason to perform FGM.” This quote, like the previous one, reveals significant information about female circumcision that would not be expected by cultures unfamiliar with the procedure. This data Baniukiewicz 12 explain that most women who were interviewed in this study found that female circumcision was not forced and reported that their reasons were not because of peer pressure. This shows what a huge misconception female circumcision really is and how it is perceived in a more harsh and violent way than it truly is. F. “In some communities, the mutilated genital is a symbol of feminity, of transition from girl to woman and of beauty [8].” Previous to my knowledge of female circumcision I would not expect a “mutilated genital” to symbolize beauty or celebrate feminity. However, after researching and coming across this quote, I am able to better understand the points of view of women who undergo this procedure to transform to a woman or for aesthetic reasons. Many women in Africa view the circumcision process just as many women in America view plastic surgery, dieting, or strange exercise habits. Female circumcision in Africa represents the same values as menstruation or other growing-up symbols in America. This quote creates a connection between women in Africa and in developed countries who do not practice female circumcision.