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How do women who have had extreme female genital cutting have sexual intercourse or have babies?

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It differs between cultures, countries etc. I know I read about somewhere in Africa where she is cut open on the wedding night and had to lie still for 8 days while he had sex with her and after that closed. Can't even imagine the pain having intercourse when the whole isn't bigger then a finger. When she got pregnant she stayed closed until it was time for birth and then cut open again and after sewn shut. The problem with having babies that way is that there's usually scarring on the inside and it can prevent the baby to come out. That often leads to both mother and baby dying. I know about a women who sat 3 days on the back of a bike, while in labor, to get to a hospital.
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