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This is most clearly reflected in the fact that anaesthetics are generally not used, even when available. [[File:Indonesia - susanfemalecircumcision-1.jpg|thumb|Medicalised FGM in Indonesia - note the apparent lack of anaesthesia (see also [https://www.theguardian.com/society/2012/nov/18/female-genital-mutilation-circumcision-indonesia The day I saw 248 girls suffering genital mutilation] The Guardian 2012) |alt=]] | This is most clearly reflected in the fact that anaesthetics are generally not used, even when available. [[File:Indonesia - susanfemalecircumcision-1.jpg|thumb|Medicalised FGM in Indonesia - note the apparent lack of anaesthesia (see also [https://www.theguardian.com/society/2012/nov/18/female-genital-mutilation-circumcision-indonesia The day I saw 248 girls suffering genital mutilation] The Guardian 2012) |alt=]] | ||
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[[File:Fgm-in-the-middle-east.jpg|thumb|Iraqi Kurdish four-year-old Shwen screams during her circumcision in Suleimaniyah on April 14, 2009]] | {{Quote|[http://archive.today/2021.04.27-044528/https://www.unfpa.org/pcm/node/9481 Female genital mutilation (FGM) frequently asked questions, UNFPA (2020)]|Anaesthetic and antiseptics are generally not used unless the procedure is carried out by medical practitioners.}}{{Quote|[http://archive.today/2021.04.27-042745/https://www.heraldscotland.com/news/13131835.i-screaming-mother/ 'I was screaming for my mother' (2013)]|I remember I was screaming for my grandmother and my mother to help me but no-one did. I wasn't given any medication before or after - not anaesthetic, nothing.}}{{Quote|[http://archive.today/2021.04.27-043109/https://www.womenshealthmag.com/health/a19042103/female-genital-mutilation-survivor/ 'My Clitoris Was Cut Off When I Was 11' (2018)]|The pain was excruciating, and it's difficult to compare it to anything, even to the pain of rape, which I suffered later in life. The physical pain, sharp, cutting, but never ending, was only made worse by the emotional pain. What was happening? Why had our parents allowed this to happen? What should we fear next? I didn’t talk to my sister, and she didn’t talk to me.}}{{Quote|[http://archive.today/2021.04.27-045044/https://www.birminghammail.co.uk/news/midlands-news/fgm-survivor-speaks-horrific-experience-9518964 FGM survivor speaks of her horrific experience (2015)]|“I heard my two sisters screaming and then saw an old woman coming to get me and I started running but there was nowhere to go and no-one to run to [...] As soon as I got in the backyard I saw my two sisters lying on the floor bleeding excessively whilst the cutter had covered their faces with scarves. Then one of them held me down on the floor, others tied by eyes, covered my mouth and stretched my legs apart and then I felt a sharp cut in between my legs. '''It was the worst pain of my life''' and I screamed for help but no-one came to help me.”}}[[File:Fgm-in-the-middle-east.jpg|thumb|Iraqi Kurdish four-year-old Shwen screams during her circumcision in Suleimaniyah on April 14, 2009]] | ||
[[File:Endfgm-campaign-video-016.jpg|thumb|TUZ KHURMATU, IRAQ - AUGUST 25: In northern Iraq, a midwife slices part of seven year-old Sheelan Anwar Omer's genitals while performing a female circumcision. Female circumcision is a rite of passage for most girls in Kurdistan. It is meant to "cleanse" them of improper or sexual thoughts and actions. A woman who served as an escort for The Washington Post via Getty Images, left, rushed in to comfort the child. Maharoub Juwad Nawchas, the 40-year-old midwife back to camera, also delivered Omer and is a trusted and valued member of the neighborhood. Sheelan's mother, right, holds her. Photographed August, 25, 2008 in Tuz Khurmatu, Iraq. (Photo by Andrea Bruce/The Washington Post via Getty Images)<ref>Image cropped from larger photo - for original see http://archive.today/2021.04.26-065336/https://i0.wp.com/freethoughtblogs.com/taslima/files/2012/06/Kurdish-girl.jpg?ssl=1</ref>]] | [[File:Endfgm-campaign-video-016.jpg|thumb|TUZ KHURMATU, IRAQ - AUGUST 25: In northern Iraq, a midwife slices part of seven year-old Sheelan Anwar Omer's genitals while performing a female circumcision. Female circumcision is a rite of passage for most girls in Kurdistan. It is meant to "cleanse" them of improper or sexual thoughts and actions. A woman who served as an escort for The Washington Post via Getty Images, left, rushed in to comfort the child. Maharoub Juwad Nawchas, the 40-year-old midwife back to camera, also delivered Omer and is a trusted and valued member of the neighborhood. Sheelan's mother, right, holds her. Photographed August, 25, 2008 in Tuz Khurmatu, Iraq. (Photo by Andrea Bruce/The Washington Post via Getty Images)<ref>Image cropped from larger photo - for original see http://archive.today/2021.04.26-065336/https://i0.wp.com/freethoughtblogs.com/taslima/files/2012/06/Kurdish-girl.jpg?ssl=1</ref>]] | ||
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