Kaggwa et al (Lancet, 2023) has recently restarted the debate regarding Labia minora elongation (LME).
This is a form of female genital mutilation (FGM) that involves the elongation of the inner lips of the female external genitalia or labia minora with the use of herbs (e.g. Solanum aculeastrum), oils, crèmes (e.g. cow-cheese), and other instruments until the intended length is achieved which can range from 2 to 8 cm.
Unlike other types of FGM, LME is a prolonged process that takes months to years of physical and mental suffering. However, less emphasis has been given to the suffering related to this practice than other forms of FGM.
Similar to FGM, the practice of LME is common to a varying degree across Africa. It has been documented in east and southern African countries. Young girls aged 8-14 years may be initiated/involved in LME to prepare for womanhood, marriage and increase their partners’ sexual pleasure.
LME is classified as a lesser type of FGM (than circumcision). It also leads to social pressure on young girls to modify their genitalia, creating permanent genital changes.
