The Wall Street Journal
Secular, Muslim Culture Clash Ensnares French Doctors
Hymenoplasty Spotlights Debate Over Repression
By STACY MEICHTRY and MAX COLCHESTER
June 10, 2008; Page A11
PARIS -- The office of Bernard Paniel on the outskirts of Paris has for years been a mandatory stop for many Muslim women nervous about getting married. An obstetrician-gynecologist for France's public health system, Dr. Paniel performs an operation to reattach the hymens of women who want to appear as virgins. For such patients, virginity is a prerequisite for marriage. The 68-year-old surgeon is among a number of physicians who help members of France's large Muslim population try to meet the demands of their religious traditions even when, by engaging in premarital sex, they have lifestyles more consistent with the modern secular culture in which they live.
A recent court ruling has exposed the tensions inherent in that culture clash. A court in the northern city of Lille in April annulled a marriage between a French engineer who had converted to Islam and a French woman of North African origins, after the husband discovered on their wedding night that his bride wasn't a virgin. The verdict unleashed a torrent of denunciations after it was made public a week ago. Women's rights groups hit the streets of Paris and Marseille on Saturday to protest the decision on the grounds that it supported what they see as a tradition intended to subjugate women. Justice Minister Rachida Dati, the daughter of North African immigrants, who had her own arranged marriage annulled, filed an appeal of the ruling last week. Some 150 members of the European Parliament denounced the ruling as an act of "serious regression" because they considered it to be gender-biased.
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Hymenoplasty has been practiced for decades in the Middle East and Latin America because of social and religious customs that stress virginity. The procedure can vary: In France, it requires a local anesthetic and no hospitalization. Doctors use stitches to repair the broken membrane so that it partially covers the opening of the vagina... The procedure is controversial in the medical community, however, over the question of whether surgeons should be involved in misleading family members of patients, and whether doctors are ultimately reinforcing a gender bias... Women's rights groups are among the biggest critics of hymen repair. Paris-based Muslim women's rights group "Ni Putes Ni Soumises," or "Neither Prostitutes, Nor Submissive," says surgeons who perform hymenoplasty are overstepping the bounds of their profession.
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Dr. Paniel first came across the procedure in Tunisia in the 1960s. There, physicians practiced a version of hymenoplasty that produced considerable pain and bleeding in patients once they had sex with their husbands. "One woman told me she'd rather have her eye burst," Dr. Paniel recalled... As the number of hymenoplasty requests multiplied, including those from second- and third-generation French Muslims, Dr. Paniel developed a less-invasive procedure. Still, even the newer technique has its drawbacks. Because it causes less bleeding, Dr. Paniel provides his patients with vials of blood that can be spilled on wedding-night bed sheets. The single thread will only hold for twenty days, giving the bride-to-be little time to marry and consummate the union.
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