The UK's Barbaric FEMALE GENITAL MUTILATION (FGM) Problem
- About 103,000 women aged 15–49 and 24,000 women aged 50+ who migrated to England and Wales are living with the consequences of FGM.
It is widely considered accurate and appropriate to describe female genital mutilation (FGM) as a barbaric custom. This characterization is supported by leading medical, human rights, and governmental organizations, as well as by the UK Parliament, which explicitly refers to FGM as a "barbaric act" and a form of child abuse for which there can be no excuse
315.
FGM is recognized as:
- A violation of human rights
- A form of violence against women and girls
- A medically unwarranted and extremely harmful practice that causes severe physical, psychological, and reproductive damage1258
The procedure is typically performed without anesthesia or proper medical care, often using crude instruments, resulting in intense pain, risk of infection, lifelong health complications, and sometimes death
18. The justifications offered for FGM do not withstand moral, ethical, or legal scrutiny, and the practice is condemned internationally as an atrocity against children and women
56.
In summary, the term "barbaric" is not only commonly used in authoritative sources to describe FGM, but also reflects the consensus of the global medical and human rights communities regarding the severity and cruelty of the practice
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Female Genital Mutilation (FGM) in the United Kingdom: Data by Year, Quantity, Ethnic Demography, and Prosecution
Prevalence and Demography
- Estimated Numbers (Based on 2011 Census Data):
- About 103,000 women aged 15–49 and 24,000 women aged 50+ who migrated to England and Wales are living with the consequences of FGM.
- Approximately 10,000 girls under 15 who have migrated to England and Wales are likely to have undergone FGM.
- Around 60,000 girls aged 0–14 were born in England and Wales to mothers who had undergone FGM8.
- 2001 Census Analysis:
- Estimated 65,790 women resident in England and Wales had been subjected to FGM.
- Largest groups by country of origin: Kenya (18,516), Somalia (15,272), Nigeria (6,925), Sierra Leone (5,963), Eritrea (2,545), Ethiopia (2,807), Sudan (2,879), among others4.
- Ethnic Demography:
- Most affected communities originate from East, West, and North African countries, as well as some Middle Eastern nations.
- Notable UK cities with higher prevalence: London (especially Southwark and Brent), Cardiff, Manchester, Sheffield, Northampton, Birmingham, Oxford, Crawley, Reading, Slough, Milton Keynes, Leeds, and Bedford6.
- At-risk groups include British citizens born in the UK, migrants, asylum seekers, refugees, and students from affected communities6.
Yearly and Recent Data
- January–March 2024:
- The NHS FGM Enhanced Dataset provides ongoing data collection, including type of FGM, age at procedure, country where FGM was performed, and age at latest attendance2.
- The dataset is updated quarterly, but detailed numbers for 2024 are not specified in the search results2.
Prosecutions and Legal Actions
- Legal Framework:
- FGM is a criminal offence under the Female Genital Mutilation Act 2003 and subsequent legislation, including extraterritorial provisions for UK nationals and residents3.
- Prosecution History:
- First conviction for conspiracy to commit FGM in England and Wales occurred in September 2024: Emad Kaky was sentenced for arranging for a girl to be subjected to FGM and forced marriage abroad1910.
- Initial sentence: 4.5 years (October 2024); increased to 7 years (January 2025) after appeal9.
- The Crown Prosecution Service (CPS) has dedicated FGM leads and revised guidance to improve prosecution rates, including early investigative advice and mandatory case referrals from police1.
- Prosecution Challenges:
- Despite the high estimated prevalence, successful prosecutions remain rare due to the hidden nature of the crime and difficulties in evidence gathering16.
- The government is committed to increasing prosecution rates and has implemented new protocols and training for prosecutors13.
Limitations
- Exact annual figures for new FGM cases and prosecutions are not comprehensively published due to the hidden nature of the practice86.
- Ethnic breakdowns are typically inferred from country of origin and census data, not direct reporting48.
In summary:
FGM remains a significant but largely hidden issue in the UK, affecting tens of thousands, primarily among communities with roots in East, West, and North Africa. Prosecutions are rare but increasing, with the first conviction for conspiracy to commit FGM recorded in 2024. The government continues to strengthen legal and support frameworks to address both prevalence and prosecution gaps
1910.
Female genital mutilation (FGM) causes a range of serious medical and physiological damages to the female body, both immediately and throughout life.
Immediate (Short-Term) Health Risks
- Severe pain: Cutting nerve endings and sensitive genital tissue causes extreme and lasting pain.
- Excessive bleeding (haemorrhage): Can occur if major blood vessels are cut, sometimes leading to shock or death.
- Shock: Due to pain, blood loss, or infection.
- Genital tissue swelling: From inflammation or infection.
- Infections: Including tetanus and sepsis, especially if non-sterile instruments are used.
- Urinary problems: Such as retention and pain when urinating.
- Impaired wound healing: Leading to abnormal scarring.
- Death: Can result from severe bleeding or infection.
- Mental health trauma: The event is often deeply traumatic, leading to immediate psychological distress14.
Long-Term (Chronic) Complications
- Chronic pain: From nerve damage, scarring, or neuroma formation.
- Repeated infections: Chronic genital, urinary, and reproductive tract infections are common, increasing the risk of infertility1234.
- Urinary tract issues: Painful urination, incontinence, and recurrent urinary tract infections.
- Menstrual problems: Difficulty and pain during menstruation, especially if the vaginal opening is narrowed (Type III FGM).
- Keloids and cysts: Excessive scar tissue and cyst formation at the site of cutting23.
- Sexual dysfunction: Reduced sexual desire and pleasure, pain during intercourse (dyspareunia), difficulty with penetration, and decreased lubrication145.
- Obstetric complications: Higher risk of miscarriage, prolonged labor, perineal tears, need for episiotomy or cesarean section, postpartum hemorrhage, and increased risk of stillbirth or neonatal death345.
- Fistula formation: Severe tissue damage can lead to rectovaginal or vesicovaginal fistulas3.
- Infertility: Due to infections and reproductive tract damage4.
Psychological and Emotional Effects
- Depression, anxiety, PTSD: FGM is a traumatic event that can cause lifelong psychological harm, including depression, anxiety, flashbacks, nightmares, and self-harm24.
- Sexual and relationship difficulties: Emotional distress and physical pain can impact intimate relationships and self-esteem.
It is accurate to state that female genital mutilation (FGM) is not a traditional UK cultural practice. Instead, it is a practice that has been brought into the UK by
immigrants from countries where FGM is a longstanding cultural tradition, primarily in parts of Africa, the Middle East, and some areas of Asia
451.
Key points:
- FGM has no roots in indigenous British cultural or religious traditions5.
- The majority of women and girls affected by FGM in the UK are from diaspora communities originating from countries with high FGM prevalence, such as Somalia, Eritrea, Ethiopia, Nigeria, Sudan, and others451.
- The practice is maintained within certain migrant communities as a continuation of customs from their countries of origin, not as a result of British culture51.
- UK law has long prohibited FGM, with the first legislation dating back to 1985, and subsequent laws strengthening protections and criminalizing the practice both domestically and abroad5.
While some British citizens born in the UK may be at risk (for example, if they are born into families from FGM-practicing communities),
FGM is not a practice that originated in or is native to the UK541.
The cultural reasons given for female genital mutilation (FGM) are complex and deeply rooted in the traditions of many communities. The main cultural justifications include:
- Social Convention and Pressure: FGM is often a social norm, maintained by strong community pressure to conform. Families fear social exclusion if their daughters are not cut, as FGM is seen as necessary for social acceptance146.
- Rite of Passage: In many cultures, FGM marks a girl’s transition to womanhood and is considered an essential part of raising a girl properly124.
- Marriageability: FGM is believed to increase a girl's chances of marriage. In some communities, uncut women are seen as unclean, unmarriageable, or unworthy246.
- Control of Sexuality: FGM is linked to beliefs about controlling female sexuality. It is thought to preserve virginity, promote marital fidelity, and reduce a woman's libido, thus preventing "illicit" sexual acts1246.
- Cultural Ideals of Femininity and Modesty: The practice is associated with ideals of femininity, cleanliness, and beauty. Removal of parts considered "male" or "unclean" is thought to make girls "clean" and "beautiful"16.
- Religious Beliefs: Although no major religion requires FGM, some communities believe it is a religious obligation or supported by religious teachings. Religious leaders’ positions vary, and the practice predates Christianity and Islam1346.
- Hygienic and Aesthetic Beliefs: Some believe FGM improves hygiene and the appearance of the genitals, despite there being no medical benefit35.
- Family Honor and Male Sexual Pleasure: In some cases, FGM is justified as a way to uphold family honor or to enhance male sexual pleasure3.
“FGM is often considered a necessary part of raising a girl properly, and a way to prepare her for adulthood and marriage... motivated by beliefs about what is considered proper sexual behaviour, linking procedures to premarital virginity and marital fidelity... associated with cultural ideals of femininity and modesty, which include the notion that girls are ‘clean’ and ‘beautiful’ after removal of body parts that are considered ‘male’ or ‘unclean’.”
1
These reasons are
cultural beliefs and social constructs,
not medical facts. There are no health benefits to FGM, and it is internationally recognized as a violation of human rights
47.