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Cervical dysplasia among migrant women with female genital mutilation/cutting type III: A cross‐sectional study
Author(s) -
Frick Albertina,
Azuaga Alicia,
Abdulcadir Jasmine
Publication year - 2022
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13921
Subject(s) - colposcopy , medicine , dysplasia , obstetrics , gynecology , cross sectional study , squamous intraepithelial lesion , population , medical record , sex organ , cervical intraepithelial neoplasia , cervical cancer , surgery , pathology , environmental health , cancer , biology , genetics
Abstract Objective To assess the rate of cervical dysplasia in a population of migrant women with female genital mutilation/cutting (FGM/C) type III who attended a specialized clinic for FGM/C. Methods 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 sociodemographic characteristics, parity, FGM/C subtypes, presence/grade of cervical dysplasia, colposcopy follow up/treatment, infections, and history of sexual violence. Results 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%). A total of 113 (60%) had undergone defibulation, the majority (105; 92.9%) without undergoing re‐infibulation. Cervical dysplasia was found in 20 (10.6%): 16 (8.5%) had a low‐grade grade squamous intraepithelial lesion or HPV‐positive atypical squamous cells of undetermined significance, Four (2.1%) had a high‐grade squamous intraepithelial lesions, of which one was a carcinoma in situ. Seven (35%) of the women with dysplasia underwent colposcopies regularly, five (25%) irregularly, and eight (40%) dropped out of colposcopy follow up. Conclusion Cervical dysplasia is frequent among women with FGM/C type III and efforts should be made to guarantee follow up for migrant women.