I'm a Middle East political scientist, traveled throughout the region and lived in Egypt 2008-2012.
FGM is completely unrelated to Islam. Though, there is a religious mandate for males to be circumcised in the Hadith (prophetic statements of Muhammad) there is no such requirement issued for females.
I'm reality, the cultural practice predates Islam by centuries, and is commonly practiced globally among Christians, Jews, Indigenous African religions, Asia, and even in some areas of South Asia. It is a global phenomenon.
The act was also performed by physicians in Western Europe as a medical treatment for certain perceived female related illnesses. While living in Egypt, I actually interviewed females inquiring their participation in the practice; I found it to have been relatively common among women whom are older than 45 years of age among Muslims and Qibtiyyat (Egyptian Coptic Christian females)-far more common in villages than in large cities such as Cairo and Alexandria.
As a result of modernity, the potential health factors, pressure from NGOs (Non-Governmental Organizations), more girls going to school, and boys; as Egypt has a very high population of youths who work in order to help financially support their families as Egypt's child labor laws are rarely enforced.
Many young girls will begin working as maids by age 10 and boys the same age working at construction sites. However, with the increase of girls entering primary and secondary school and becoming exposed towards FGM's criticisms and society the practice is gradually fading. An interesting dichotomy in the Middle East is that boys outpopulate girls in school through high school, but there are more girls attending university (many Middle East nations provide free university to females for certain fields). But, cultural change occurs far far more slowly in the Arab World than what we are familiar with in the Developed World.
Contrary to popular opinion, pressure among girls to undergo the ritual is most prevalent from older women such as their mothers, aunts, grandmothers, etc. Moreover, there is tremendous resistance against its attempted eradication-viewing it as cultural emperialism. The view is that it is a time honored tradition dating back to countless generations and is symbolic of entering womanhood and 'know it all' Western women with no appreciation for their cultural and moral norms have no right to interject their ideas into their traditions.
The Maghrabi nations; Algeria, Tunisia, Morocco, and Mauritania continue to engage in the tradition, but less common than other nations.
However, their geographic proximity to Europe has absolutely no salience to its prevalence. Its relative dearth is due to it being a foreign tradition prior to the Arabization of that region.
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