Most research on the health and sexuality consequences of FGM has been limited to circumcised women, and prior to this study, no research was done on the effects of FGM in couples. With attention on psychosexual problems related to FGM and on increasing numbers of women who were circumcised in childhood and who have now reached the age of marriage or of being married, the sexual function, mental health and marital satisfaction of these women and their husbands is going to become an increasingly important issue.
Our study makes several contributions to what is known about the association between the relationship of mental health, marital satisfaction, and sexual function among couples who are victims of FGM. We found that FGM is strongly associated with marital dissatisfaction, sexual dysfunction, and psychiatric symptoms for both wife and husband victims of FGM. As we expected, in the field of fear, paranoid thoughts, psychotic thoughts, depression, anxiety, obsessive-compulsive tendencies, and feelings of inferiority, couples who were victims of FGM were in worse mental condition than normal couples Second, we found that marital satisfaction of couples who were victims of FGM was lower and worse condition than that of normal couples, specifically in the fields of personal issues, marital relationship, solving problems, and sexual relationship Finally, we found that sexual function of couples who were victims of FGM was lower, specifically in psychological arousal, physiologic arousal, ease of orgasm, and orgasm satisfaction, compared with normal couples.