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Results: The mean maximum pain score was 0.2 (range 0-3), and the mean pain perception (comparison) score was 0.8 (range 0-5). The mean maximum pain score did not differ significantly for the phallus tip (0.2) and the clitoris (0.2) (Wilcoxon signed-rank test, p=0.13). However, the mean comparison score was significantly higher for the clitoris (1.5) (p=0.02). According to the existing literature, the average maximum pain score was 2.2 ([@B34]) for a phallus, 2.3 ([@B34]) for the glans and 2.4 ([@B35]) for the clitoris.
1. Gynaecologists should make their professional opinions known to women and girls at risk, with specific advice in matters of potential FGM that may become known to them as certain cohorts age. The age at which a woman should consider FGM is at least the age of majority. Generally, FGM applies to girls who are at least nine years old, and sometimes as young as three years old.
2. Gynaecologists should emphasize to young girls and women the potential effects of FGM or of their attitudes towards FGM. The best way to do so is to emphasize the effects of FGM, particularly the personal and social consequences of FGM, and the effects of changing a girl’s perception and attitudes about her own sexual anatomy and body and how it will affect relationships with others, and how it influences basic life choices (eg, whether or not to attend school. how to find a husband and marrying age, number and spacing of children, when and how to have them).
3. Gynaecologists should prepare young girls and women that are considering FGM for or have actually undergone FGM to highlight to them that the medical effects of FGM can be controlled with minimally invasive surgeries such as clitoral hood reduction, clitoral hood removal and the microcurettage and laser treatment of clitoral hood and vagina. d2c66b5586