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Published:September 06, 2017DOI:https://doi.org/10.1016/j.ajog.2017.08.116
      We thank Ms Sakyi-Agyekum for her close review of our article.
      • Rouzi A.A.
      • Berg R.C.
      • Sahly N.
      • et al.
      Effects of female genital mutilation/cutting on the sexual function of Sudanese women: a cross-sectional study.
      The points she raises emphasize the difficulty in assessing sexual functioning in women with female genital mutilation/cutting (FGM/C), and we encourage other researchers to investigate this issue, taking, for example, physiological and cultural covariates into consideration.
      We used the Female Sexual Function Index in our study because it is considered the gold standard assessment of sexual functioning in women.
      • Rosen R.
      • Brown C.
      • Heiman J.
      • et al.
      The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
      Within the context of sexual functioning among women with FGM/C, we agree that it would be interesting to examine why some couples do not attempt intercourse as well as the influence of age difference between the couple, polygamy, and abuse. These issues were, as Ms Sakyi-Agyekum suggests, outside the scope of our study, but we agree that research on these issues would add valuable information to the evidence base for policies regarding FGM/C.

      References

        • Rouzi A.A.
        • Berg R.C.
        • Sahly N.
        • et al.
        Effects of female genital mutilation/cutting on the sexual function of Sudanese women: a cross-sectional study.
        Am J Obstet Gynecol. 2017; 217: 62.e1-62.e6
        • Rosen R.
        • Brown C.
        • Heiman J.
        • et al.
        The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
        J Sex Marital Ther. 2000; 26: 191-208

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