To help the tissue bond, the girl's legs are tied together, often from hip to ankle; the bindings are usually loosened after a week and removed after two to six weeks. Reinfibulation can involve cutting the vagina again to restore the pinhole size of the first infibulation. This might be performed before marriage, and after childbirth, divorce and widowhood. The penetration of the bride's infibulation takes anywhere from 3 or 4 days to several months. Some who are unable to penetrate their wives manage to get them pregnant in spite of the infibulation, and the woman's vaginal passage is then cut open to allow birth to take place. Those men who do manage to penetrate their wives do so often, or perhaps always, with the help of the "little knife".
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Definitions Some definitions or uses of the term Wahhabi Islam include: King Salman bin Abdul Aziz , King of Saudi Arabia  "a misguided creed that fosters intolerance, promotes simplistic theology, and restricts Islam's capacity for adaption to diverse and shifting circumstances" David Commins, paraphrasing opponents' definition  "a conservative reform movement Starting out as a theological reform movement, it had "the goal of calling da'wa people to restore the 'real' meaning of tawhid oneness of God or monotheism and to disregard and deconstruct 'traditional' disciplines and practices that evolved in Islamic history such as theology and jurisprudence and the traditions of visiting tombs and shrines of venerated individuals. The term is "most frequently used in countries where Salafis are a small minority" of the Muslim community but "have made recent inroads" in "converting" the local population to Salafism.
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Sometimes genital tissue is stitched again several times, including after childbirth, hence the woman goes through repeated opening and closing procedures, further increasing both immediate and long-term risks; psychological problems depression, anxiety, post-traumatic stress disorder, low self-esteem, etc. Health complications of female genital mutilation Who is at risk? Procedures are mostly carried out on young girls sometime between infancy and adolescence, and occasionally on adult women.