A slim introitus ination otherwise getting a flush-catch urine sample. In this instance, clinicians can be determine endocrine system problems from the exposure from attacks, bacteriuria, and white blood cell counts (bacteriuria by yourself is present versus illness thanks to the blend away from pee and you can genital secretions in a slim introitus). Genital candidiasis will likely be identified using a pure cotton swab specimen, and you may diligent symptoms can usually be treated with dental, as opposed to genital antifungal agents.
Physicians is always to keep in mind that particular circumcised women report that have rewarding intimate relations: you to definitely study of 300 infibulated Sudanese women learned that most stated feeling libido, pleasure, and you can orgasm, even after a cultural standard to full cover up these types of event
If the a lady provides recurrent infections, or significant congestion off pee or monthly period bloodstream, doctors can also be recommend the girl so you’re able to good gynecologist to own defibulation or stretching from vaginal muscle. Women with obstructive sequelae will most likely not commit to these methods earlier in order to very first intercourse otherwise relationships. Regardless if particularly an alternative is generally hard for their doctors, people have the straight to make this decision, and you may physicians is indispensable to these patients if they do these problems clinically, and you will carefully present these selection once again to the future instances.
In the event that an infibulated woman’s narrow introitus rips “naturally” (by the genital entrance) or perhaps is cut getting earliest sex, local bacterial infections and you can wound of surrounding architecture could happen. This might end up in uterine and you may rectal prolapse, and you can vulval lymphedema. 22 Physicians can perform defibulation around regional or general anesthesia when you look at the a keen ambulatory form. 23 , twenty four Women who was reinfibulated once delivery will get again experience obstructive sequelae. “Another number of difficulty get manifest whenever ladies be sexually energetic” の続きを読む