Background Female genital mutilation is considered a crime but is still practiced today in Africa and the Middle East, despite all the laws that make this procedure illegal due to the long-term physical and psychological harm it causes to women. Millions of girls and women living today have undergone genital mutilation, which involves removing the external female genitalia either partially or totally, based on the belief that it restricts feminine sexuality, thereby “saving” a girl for marriage. For girls and women, the surgery offers no health advantages. Girls’ right to control critical decisions regarding their sexual and reproductive health is violated because genital mutilation is frequently done against their will and frequently without their consent, leading to lifelong psychic trauma in addition to sexual dysfunction and lack of satisfaction due to distortion of the genitalia that threatens marital stability. Objective To determine the effect of a clitoral therapy device on improving sexual domains in women suffering from sexual dysfunction after female genital mutilation. Methods This study examined 80 married women aged from 20 to 45 years who were referred from the gynecology outpatient clinic of the Faculty of Medicine, Suez University, for sexual dysfunction resulting from female genital mutilation. The women were divided into 2 equal groups: the study group received a clitoral therapy device and traditional psychosexual education and were closely followed for 3 months, while the control group received only traditional psychosexual education for 3 months. The Arabic version of the Female Sexual Function Index (FSFI) questionnaire was used to assess sexual outcomes pre- and posttreatment in the 2 groups. Results Our findings revealed a significant increase in the 6 domains of the FSFI pretreatment in both groups compared to posttreatment (P>.001), except the orgasm domain in the control group, which showed only a nonsignificant increase (P=.16). Conclusions Clitoral therapy devices may be an effective, safe, noninvasive rehabilitation method for sexual dysfunction following female genital mutilation. Trial Registration ClinicalTrials.gov NCT05039775; https://clinicaltrials.gov/ct2/show/NCT05039775

BACKGROUND : Female genital mutilation is considered as a crime that still practiced till now in Africa and Middle East despite all the laws that incriminate this procedure due to its permanent hazards on women physically and psychologically. OBJECTIVE to find out the influence of clitoral therapy device on improving sexual domains in women suffering from sexual dysfunction after female genital mutilation. METHODS Eighty married females, with age range from 20 to 45 years old referred from the Gynecology outpatient clinic of Faculty of Medicine, Suez University with sexual dysfunction resulting from female genital mutilation and were divided into two equal groups. Study group received Clitoral Therapy Device and traditional psychosexual education and were closely followed for three months, while control group received traditional psychosexual education only for three months. Arabic Female Sexual Function Index Questionnaire (FSFI) assessed sexual outcomes pre- and post- treatment in the two groups. RESULTS Findings revealed a significant increase in the six domains of Arabic Female Sexual Function Index post-treatment in both groups compared with that pre-treatment (p>0.001) except orgasm domain in control group; there was non-significant increase with that pre-treatment (p>0.05). CONCLUSIONS Clitoral therapy device may be effective, safe, non-invasive rehabilitation method of sexual dysfunction that followed female genital mutilation. CLINICALTRIAL ID: (NCT05039775)