Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Exploring opposition to ritual female genital cutting since the first U.S. federal prosecution: the 2017 Detroit case

Abstract

In the U.S., the 1996 federal law banning medically unnecessary female genital cutting (FGC) of minors was rendered unconstitutional in 2018 in the Nagarwala case. This paper highlights legal developments at the federal and state levels in the U.S. since this trial. It looks at anti-FGC frameworks in other Western countries such as Australia, the UK, France, and Switzerland for comparison. The Australia High Court ruled in favor of a broader interpretation of the words “mutilate” (as in “female genital mutilation” or FGM) and “clitoris” in 2019. In the UK in 2019, a mother of a three-year-old became the first person convicted of “FGM”. In the U.S., 2020 federal legislation strengthened opposition to FGC of minors. Twenty-one U.S. states have developed legislation since 2017 that was enacted to oppose such FGC. The 14th Amendment to the U.S. Constitution affords equal protection under the law without regard to sex or gender, prompting increased inclusion of neonatal male circumcision and normalizing surgery for children with intersex traits in the FGC legislation debate. More widely, the principle of equal application of the law raises questions about the legality of adult female genital cosmetic surgery where adult “FGM” is banned. Tensions between state law and religious law introduce complexities to allowing religious and cultural communities to practice their preferred way of life when this conflicts with human and civil rights afforded to individuals within secular liberal democracies. For consistency, the anti-FGC framework in the U.S. may need to shift towards calls to protect all children, regardless of sex characteristics (i.e., including male and intersex children) from medically unnecessary, non-consensual genital cutting.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

Notes

  1. *FGM is used here because I am directly referencing the WHO classification of FGC. The WHO has resisted suggestion to change the word mutilation despite women who have undergone FGC objected to the use of this language [55].

References

  1. CDC Reproductive Health. Female Genital Cutting/Mutilation. [Reviewed 2020 May 11]. Available from https://www.cdc.gov/reproductivehealth/womensrh/female-genital-mutilation.html.

  2. Braun K, Bose M. A close look at the German and Australian Anti-FGM framework-concerns about equal protection and equal application. Z fuer Int Strafrechtsdogmatik (Rev Int Crim Law Doctrin). 2020;15:566–83.

    Google Scholar 

  3. USA v. Jumana Nagarwala et. al. No. 17-cr-20274. (E.D. Mich. Nov., 20, 2018).

  4. The Constitution: Amendment XIV, Sec 1.

  5. STOP FGM Act of 2020, H.R.6100, 116th Congress (2019-2020).

  6. Andreas K and Lina M. Cosmetic labiaplasty on minors: a review of current trends and evidence. IJIR in press.

  7. Griffith R. What is Gillick competence? Hum Vaccin Immunother. 2016;12:244–247. https://doi.org/10.1080/21645515.2015.1091548.

  8. Cappa, C, Van Baelen, L and Leye, E “The practice of female genital mutilation across the world: data availability and ap- proaches to measurement.” Glob Public Health: An International Journal for Research, Policy, and Practice, (2019,): 1-14, https://doi.org/10.1080/17441692.2019.1571091.

  9. Earp BrianD. “Between moral relativism and moral hypocrisy: reframing the debate on “FGM”. Kennedy Inst Ethics J. 2016;26.2:105–44. https://doi.org/10.1353/ken.2016.0009.

    Article  Google Scholar 

  10. Earp BrianD, Johnsdotter S. “Current critiques of the WHO policy on female genital mutilation.”. IJIR: Your Sex Med J. 2021;33:196–209.

    Google Scholar 

  11. Dawoodi Bohra Women for Religious Freedom. September 2017. [updated August 2021] Available from: https://dbwrf.org/.

  12. Shweder Richard. “The prosecution of Dawoodi Bohra women: some reasonable doubts.” Global Discourse 2021:1–17. https://doi.org/10.1332/204378921×16141809582432.

  13. Earp BD. In defence of genital autonomy for children. J Med Ethics. 2016;42:158–63.

    Article  PubMed  Google Scholar 

  14. Townsend KG. Defending an inclusive right to genital and bodily integrity for children. Int J of Impotence Res. 2021. https://doi.org/10.1038/s41443-021-00503-x.

  15. Möller K. Male and female genital cutting: between the best interest of the child and genital mutilation. Oxf J Leg Stud. 2020;40:508–32.

    Article  Google Scholar 

  16. Earp BD. Against legalizing female ‘circumcision’ of minors. Global Discourse, in press.

  17. Federal Prohibition of Female Genital Mutilation Act of 1993, H.R.3247 103rd Congress (1993–1994).

  18. Omnibus Consolidated Appropriations Act, 1997, H.R.3610, 104th Congress (1995–1996).

  19. Earp BD. Why was the US ban on ‘female genital mutilation ruled unconstitutional, and what does this have to do with male circumcision? Ethics, Med public health. 2020;15:100533.

    Article  Google Scholar 

  20. Baldas T. Feds: Doctor in female genital mutilation case part of secret network who cut girls. 2021 Sep 16. Detroit Free Press. [cited 2021 Sep 25]. Available from: https://www.freep.com/story/news/local/michigan/detroit/2021/09/16/female-genital-mutilation-network-jumana-nagarwala/8357697002.

  21. Snell R. The Detroit News. Female Genital Mutilation Case Tossed Following Yearslong Fight. 2021 Sep 28. [cited 2021 Nov 24]. Available from: https://www.detroitnews.com/story/news/local/detroit-city/2021/09/28/female-genital-mutilation-case-tossed-following-years-long-fight/5898796001/.

  22. National Defense Authorization Act for Fiscal Year 2013, H.R.4310, 112th Congress (2011-2012).

  23. USA v. Jumana N et. al. No. 17-cr-20274. (E.D. Mich. Mar 4, 2020).

  24. Department of Justice Office of Public Affairs. Press Release 20-50. 2021 Jan 13 [cited May 2021]. Available from https://www.justice.gov/opa/pr/texas-woman-indicted-transporting-minor-female-genital-mutilation.

  25. Equality Now. US Laws Against FGM – State by State. [Updated 2 Feb 2021; cited 2021 May 15.]. Available from: https://www.equalitynow.org/us_laws_against_fgm_state_by_state.

  26. AHA Foundation. FGM Legislation by State. 2009 26 February. [Cited 15 Sep 2021]. Available from: https://www.theahafoundation.org/female-genital-mutilation/fgm-legislation-by-state/.

  27. Indiana Senate Bill 240. SB0240 (2021).

  28. R v A2; R v Magennis; R v Vaziri. No. 24. NSWSC. 9 June 2016.

  29. A2 v R; Magennis v R; Vaziri v R. [2018] NSWCCA No. 174.

  30. R v A2; R v Magennnis; R v Vaziri. [2019] HCA 35 16 Oct 2019.

  31. The Daily Telegraph. 6 Mar 2021. [cited 2021 May 15]. Available from: https://www.dailytelegraph.com.au/truecrimeaustralia/police-courts/charges-dropped-in-historic-female-genital-mutilation-saga/news-story/5b493fd745149136d80dc6785888d685.

  32. Kaur H, Keane B. Two women face court over alleged planned female genital mutilation of two-week-old baby in WA. ABC News. 11 March 2021. Available from: https://www.abc.net.au/news/2021-03-12/women-allegedly-planned-genital-mutilation-of-baby-girl-in-perth/13242794.

  33. Johnsdotter S. “Meaning well while doing harm: compulsory genital examinations in Swedish African girls.”. Sex Reprod Health Matters. 2019;27:87–99. https://doi.org/10.1080/26410397.2019.1586817.

    Article  PubMed Central  Google Scholar 

  34. Leye E, Sabbe A, Garcia-Añon J, Mestre R, Otoo-Oyortey N, Johnsdotter S et. al. Responding to female genital mutilation in Europe. Striking the right balance between prosecution and prevention. 2009.

  35. Bouchoucha L, Bowen PA. WOMEN’SeNEWS. 7 March 2016. [Cited 15 Sep 2021]. Available from: https://womensenews.org/2016/03/in-france-fgm-is-reason-to-fear-homelands-seek-asylum/.

  36. Pazdor MR. “Female genital mutilation In France And The UK: The Role Of Non-Governmental Organizations In Policy Formation.” Memorial University of Newfoundland, June 2009. Thesis for Masters of Arts.

  37. Dustin M. Female genital mutilation/cutting in the UK: challenging the inconsistencies. Eur J Women’s Stud. 2010;17:7–23.

    Article  Google Scholar 

  38. Smith J. Convictions for Female Genital Cutting. France: 100. UK: 0. The Independent. 7 July 2013. [cited 2021 Sep 15]. Available from: https://www.independent.co.uk/voices/comment/convictions-female-genital-mutilation-france-100-uk-nil-8722934.html.

  39. Library of Congress. United Kingdom: first successful prosecution for female genital mutilation. 2019. [cited 15 Sep 2021]. Available from: www.loc.gov/item/global-legal-monitor/2019-07-31/united-kingdom-first-successful-prosecution-for-female-genital-mutilation.

  40. Hausamman C. “Conviction for Female Genital Mutilation Committed Abroad.” Centre Suisse de compétence pour les droits humains (CSDH). Thematic Area Gender Policy. https://www.skmr.ch/frz/domaines/genre/nouvelles/condamnation-emgf-etranger.html.

  41. Pew Research Center. Applying God’s Law: Religious Courts and Mediation in the U.S. 8 April 2013. [cited 2021 May 20]. Available from: https://www.pewforum.org/2013/04/08/applying-gods-law-religious-courts-and-mediation-in-the-us/.

  42. Pew Research Center. A Portrait of Jewish Americans. 1 October 2013. [cited 2021 May 15]. Availale from: http://pewrsr.ch/16IN5U4.

  43. Brougher C. “Application of Religious Law in U.S. Courts: Selected Legal Issues.” R41824. Congressional Research Service, 2011.

  44. Farmer L. Alabama Joins Waves of States Banning Foreign Laws. Governing. 14 November 2014. [Cited 2021 November 27]. Available from: https://www.governing.com/archive/gov-alabama-foreign-law-courts-amendment.html.

  45. Bill of Rights Institute. Reynolds v. United States (1879) [Accessed 2021 May 15]. Available from: https://billofrightsinstitute.org/e-lessons/religious-liberty.

  46. Find Law. Birth Control and the Law Basics. 11 October 2018. [cited 2021 May 15]. Available from: https://www.findlaw.com/family/reproductive-rights/birth-control-and-the-law-basics.html.

  47. Ali AH. Honor Killings in America. The Atlantic. 2015 April 30. [cited 2021 May 15]. Available from: https://www.theatlantic.com/politics/archive/2015/04/honor-killings-in-america/391760.

  48. Religious Freedom Restoration Act 1993. 103rd U.S. Congress. (1993).

  49. Employment Div. v. Smith, 494 U.S. 872 (1990).

  50. Shweder RA. The prosecution of Dawoodi Bohra women: some reasonable doubts. Glob Discourse: Interdiscip J Curr Aff. 2021;11:1–2.

    Google Scholar 

  51. Arora KS, Jacobs AJ. Female genital alteration: a compromise solution. J Med ethics. 2016;42:148–54.

    Article  PubMed  Google Scholar 

  52. The Constitution: Amendment IV, Sec 1.

  53. Griswald v Connecticut. 381 U.S. (479) 1965.

  54. Angel, Carlos A and Michael Maddox. Circumcision. Emedicine. 12 June 2018. [Cited 2021 May 15]. Available from: https://emedicine.medscape.com/article/1015820-overview.

  55. World Health Organization. Male circumcision: global trends and determinants of prevalence, safety and acceptability. 2007. [cited 2021 May 15]. Available from: https://www.who.int/reproductivehealth/publications/rtis/9789241596169/en/.

  56. World Health Organization. Female genital mutilation. World Health Organization. [cited 2021 May 15]. Available from: https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation.

  57. Krieger JN, Supriya DM, Bailey RC, Agot K, Ndinya‐Achola JO, Parker C, et al. “ORIGINAL RESEARCH—MEN’S SEXUAL HEALTH: Adult Male Circumcision: Effects on Sexual Function and Sexual Satisfaction in Kisumu, Kenya.”. J Sex Med. 2008;5.11:2610–622.

    Article  Google Scholar 

  58. Morten F. Author’s Response to: does sexual function survey in Denmark offer any support for male circumcision having an adverse effect? Int J Epidemiol. 2012;ume 41:312–4. https://doi.org/10.1093/ije/dyr181.

    Article  Google Scholar 

  59. Pang MG, Kim DS. Extraordinarily high rates of male circumcision in South Korea: history and underlying causes. BJU Int. 2002;89:48–54. http://www.cirp.org/library/cultural/pang1.

    Article  CAS  PubMed  Google Scholar 

  60. Hammond T, Carmack A. Long-term adverse outcomes from neonatal circumcision reported in a survey of 1,008 men: an overview of health and human rights implications. Int J Hum Rights. 2017;21:189–218.

    Article  Google Scholar 

  61. Earp, B. & Darby, R. Circumcision, sexual experience, and harm. Univ PA J Int Law. 2017;37:8–9.

    Google Scholar 

  62. Svoboda JS. Nontherapeutic circumcision of minors as an ethically problematic form of iatrogenic injury. AMA J ethics. 2017;19:815–24.

    Article  PubMed  Google Scholar 

  63. Owings M, Sayeedha U, Sonja W. Trends in Circumcision for Male Newborns in U.S. Hospitals: 1979–2010. CDC National Center for Health Statistics, 2013. [cited 2021 15 May]. Available from: https://www.cdc.gov/nchs/data/hestat/circumcision_2013/circumcision_2013.pdf.

  64. Schoen E & Colby C, To T. Cost Analysis of Neonatal Circumcision in a Large Health Maintenance Organization. The J of urol. 2006;175:1111-5. https://doi.org/10.1016/S0022-5347(05)00399-X.4.

  65. CPH Post. Foreign interference? Evidence points at US and Israeli meddling in Danish circumcision debate. 2021 Apr 21. [cited 2021 May 15]. Available from: https://cphpost.dk/?p=123974.

  66. Brussels Collaboration on Bodily Integrity. Medically unnecessary genital cutting and the rights of the child: moving toward consensus. Am J Bioeth. 2019;19:17–28.

    Article  Google Scholar 

  67. Jacobs Allan. Is physical alteration a sufficient reason to prohibit ritual infant circumcision? J Relig Health. 2021;60:1–22. https://doi.org/10.1007/s10943-020-01139-9.

    Article  Google Scholar 

  68. Arora K, Jacobs A. Female genital alteration - a compromise solution. Journal of Medical Ethics. 2015; 42. https://doi.org/10.1136/medethics-2014-102375..

  69. Young J, Nour NM, Macauley RC, Narang SK, Johnson-Agbakwu C. Diagnosis, management, and treatment of female genital mutilation or cutting in girls. Pediatrics. 2020;146. https://doi.org/10.1542/peds.2020-1012.

  70. Lynch M. “Part Section 1: Prepubertal Girls, Initial Assessment.” Practical Pediatric and Adolescent Gynecology edited by Paula J Adams Hillard, 2013 p1-5. https://doi.org/10.1002/9781118538555.ch1.

  71. Samuel Zimran. Female Circumcision Within the Dawoodi Bohra Community. Unpublished Work from Visiting Fellow at Department of Anthropology, The London School of Economics & Political Science. 2019.

  72. Bootwala Y. A review of female genital cutting in the dawoodi bohra community: part 3—the historical, anthropological and religious underpinnings of FGC in the Dawoodi Bohras. Curr Sex Health Rep. 2019;11:228–35. https://doi.org/10.1007/s11930-019-00214-x.

    Article  Google Scholar 

  73. Shahvisi, A. & Earp, BD (2019.) The law and ethics of female genital cutting. In S Creighton & L-M Liao (Eds.) Female Genital Cosmetic Surgery: Solution to What Problem? Cambridge: Cambridge University Press.

  74. Committee on Adolescent Health Care. Breast and Labial Surgery in Adolescents. The American College of Obstetricians and Gynecologists. Number 686. 2017 Jan. [cited 2021 Sep 15]. Available from: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/01/breast-and-labial-surgery-in-adolescents.

  75. ISAPS. The International Study on Aesthetic/Cosmetic Procedures Performed in 2016. [cited 2021 Sep 15]. Available from: https://www.isaps.org/wp-content/uploads/2017/10/GlobalStatistics2016-1.pdf.

  76. M.C. v. Ian Aaronson 13-2183. (U.S. Court of Appeals for the Fourth Circuit Jan. 26, 2015).

  77. Canner JK, Harfouch O, Kodadek LM, Pelaez D, Coon D, Offodile AC, et al. “Temporal trends in gender-affirming surgery among transgender patients in the United States.”. JAMA Surg. 2018;153.7:609–16. https://doi.org/10.1001/jamasurg.2017.6231.

    Article  Google Scholar 

  78. Catania L, Abdulcadir O, Puppo V, Verde JB, Abdulcadir J, Abdulcadir D. Pleasure and orgasm in women with female genital mutilation/cutting (FGM/C). The. J Sex Med. 2007;4:1666–78.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yasmin Bootwala.

Ethics declarations

Competing interests

The author declares no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bootwala, Y. Exploring opposition to ritual female genital cutting since the first U.S. federal prosecution: the 2017 Detroit case. Int J Impot Res 35, 179–186 (2023). https://doi.org/10.1038/s41443-022-00532-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41443-022-00532-0

This article is cited by

Search

Quick links