Background: Female genital mutilation (FGM) is a procedure that had physical, social, psychological, and sexual complications. The study aimed to assess effect of FGM on couple sexual function.Methods: case control nested from cross-sectional study in Fayoum governorate; it was conducted during a period of five months (March 2016 to July 2016).Results: The prevalence of FGM was 432(83.4%). The risk of exposure to mutilation was about four folds higher among women inhabitant rural areas, and about nine folds higher among low educated women, and around six folds higher if parents were low educated. Around one-third of women in the study 157 (30.3%) suffered psychological problems and 142 (27.4%) of them suffered marital and social problems related to FGM practice. Mutilated women had five folds decrease in desire: four folds decrease in sexual satisfaction and five folds increase in sexual dysfunction on contrary 57% to 59% decrease in arousal and orgasm. As regards to husband sexual satisfaction, it decreases by around three folds if their wives were mutilated. There is statistically a significant increase in couple sexual dysfunction among complicated mutilation.Conclusions: FGM is still practiced in Egypt and it resulted in many physical, psychological, and social complications; also it had a negative impact on the couple's sexual life.

Background Female sexual pain is a complex multifactorial condition. Most of researches have focused on underlying biomedical factors. Although psychological, psychiatric, and relational factors have been studied as possible correlates, limited research has been made in this area about the Egyptian population. The present study aimed to evaluate prevalence of female sexual pain among a sample of Egyptian females and detect its correlation with depression and anxiety. Female sexual function index (FSFI) was used to evaluate sexual pain in 450 women calculating their pain domain scores. Their scores were correlated to demographic data, genital health complaints, depression, and anxiety symptoms. Results The prevalence of marked severe sexual pain was 31.6% and that of trivial pain was 68.4% in the studied group. In the study group, 75 (16.7%) females had depressive symptoms, and 40 (8.9%) females had anxiety symptoms. Patients with severe depression had significantly marked severe pain than patients with minimal depression (p < 0.001 respectively). Patients with severe anxiety had significantly lower pain score than patients without (p < 0.001). Pain score had significant negative correlation with each of the depression score (r − 0.524, p < 0.001) and the anxiety score (r − 0.305, p < 0.001). Patients with gynecological causes especially fungal infection had significantly severe marked pain than patients without any other physical causes (< 0.001). Conclusions Anxiety, depression, and the presence of gynecological causes especially fungal infection were significantly independent risk factors for more sexual pain.

Rationale Nowadays, obesity and dyslipidemia are more prevalent , studies had shown that obese men have around 50% higher rate of infertility compared to normal weight men Aim of the work is to study the impact of obesity on male infertility Subjects and methods This study included 90 males aged ( 25 -45 ) years old , divided into three groups . Semen samples to assess semen quality plus a blood sample to measure serum testosterone and leptin levels were collected Results A statistically significant increases of mean BMI in obese fertile and obese infertile groups compared to non-obese infertile group (p. < 0.0001) .There was a statistically significant increase of mean serum leptin in obese infertile group compared to obese fertile group (p. < 0.0001) and compared to obese fertile group (p. < 0.0001). There was a statistically significant increase of mean serum testosterone level in obese fertile group compared to non-obese infertile group (p < 0.01) and there was a statistically significant increase of mean sperm motility in obese fertile group compared to obese infertile group Conclusion. BMI & serum leptin levels in obese infertile men were significantly higher than obese fertile men. Serum leptin had significant negative correlation with sperm count, motility and testosterone level. Leptin had significant correlation with the abnormal sperm morphology. Men with high BMIs had a significant decrease in sperm count, and motility as well as increase in the abnormal forms of spermatozoa compared to those with low BMIs.