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Does female circumcision affect infertility and fertility? A study of the central African Republic, Côte d’Ivoire, and Tanzania

Abstract

This study explores the association between female circumcision and infertility and fertility, using information from the Demographic and Health Surveys (DHS). In Côte d’Ivoire and Tanzania, circumcised women had lower childlessness, lower infertility by age, and higher total fertility rates than women who were not circumcised; the reverse pattern prevailed in the Central African Republic. In all three countries, however, circumcised women grouped by age at circumcision did not have significantly different odds of infertility nor of having a child than did uncircumcised women, when the effects of covariates were controlled. Thus we find evidence suggesting that the practice of female circumcision does not have a statistically discernible effect on women’s ability to reproduce.

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References

  • Allison, P.D. 1995. Survival Analysis Using the SAS System: A Practical Guide. Cary, NC: SAS Institute Inc.

    Google Scholar 

  • Carr, D. 1997. Female Genital Cutting: Findings From the Demographic and Health Surveys Program. Calverton, MD: Macro International, Inc.

    Google Scholar 

  • Côte d’Ivoire Enquête Demographique et de Santé 1994. 1995. Calverton, MD: Macro International, Inc.

  • Egypt Demographic and Health Survey 1995. 1996. Calverton, MD: National Population Council and Demographic and Health Surveys Macro International, Inc.

  • Egyptian Fertility Care Society. 1996. “Clinic-Based Investigation of the Typology and Self-Reporting of FGM in Egypt, Final Report.” Presented at a Rainbo workshop on female genital mutilation, November, Cairo.

  • Larsen, U. 1994. “Sterility in Sub-Saharan Africa.” Population Studies 48:459–74.

    Article  Google Scholar 

  • Larsen, U. and J. Menken. 1989. “Measuring Sterility From Incomplete Birth Histories.” Demography 26:185–202.

    Article  Google Scholar 

  • —. 1991. “Individual-Level Sterility: A New Method of Estimation With Application to Sub-Saharan Africa.” Demography 28:229–49.

    Article  Google Scholar 

  • Newell, C. 1988. Methods and Models in Demography. New York: Guilford.

    Google Scholar 

  • Obermeyer, C.M. and R.F. Reynolds. 1999. “Female Genital Surgeries: The Known, the Unknown, and the Unknowable.” Medical Anthropology Quarterly 13:1–28.

    Article  Google Scholar 

  • Republique Centrafricaine Enquête Demographique et de Santé 1994–1995. 1995. Calverton, MD: Macro International, Inc.

  • Sherris, J.D. and G. Fox. 1983. “Infertility and Sexually Transmitted Diseases: A Public Health Challenge.” Population Reports, Series L: Issues in World Health 4:L113–51.

    Google Scholar 

  • Sudan Demographic and Health Survey, 1989–1990. 1991. Columbia, MD: Demographic and Health Surveys Institute for Resource Development/Macro International, Inc.

  • Tanzania Demographic and Health Survey, 1996. 1997. Calverton, MD: Macro International, Inc.

  • Toubia, N. 1993. Female Genital Mutilation: A Call for Global Action. New York: Women, Inc.

    Google Scholar 

  • Toubia, N.. 1994. “Female Circumcision as a Public Health Issue.” New England Journal of Medicine 331:712–16.

    Article  Google Scholar 

  • Toubia, N.. 1998. “Female Circumcision/Female Genital Mutilation.” African Journal of Reproductive Health 2:6–8.

    Google Scholar 

  • UNICEF. 1994. Guidelines for UNICEF Action on Eliminating Female Genital Mutilation. CF/EXD/1994-009.

  • World Health Organization (WHO). 1993. Press release WHO/10.

  • —. 1996. Female Genital Mutilation: Report of a WHO Technical Working Group. Geneva: World Health Organization.

    Google Scholar 

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Correspondence to Ulla Larsen.

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Center for Drug Evaluation and Research, Food and Drug Administration. This research was supported by an award from the William F. Milton Fund. We would like to acknowledge useful comments from Stacie Colwell, Carla Obermeyer, Robert Strecker, and two anonymous reviewers. An earlier version of this paper was presented at the annual meeting of the Population Association of America, held in New York City in March 1999.

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Larsen, U., Yan, S. Does female circumcision affect infertility and fertility? A study of the central African Republic, Côte d’Ivoire, and Tanzania. Demography 37, 313–321 (2000). https://doi.org/10.2307/2648044

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  • DOI: https://doi.org/10.2307/2648044

Keywords

  • Infertility
  • Total Fertility Rate
  • Birth Interval
  • Male Circumcision
  • Female Genital Mutilation