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There are other forms of FGM, collectively referred to as Type IV, that may not involve tissue removal. The WHO defines Type IV FGM as "all other harmful procedures to the female genitalia for non-medical purposes, for example, pricking, piercing, incising, scraping and cauterization."<ref name="WHO - Terminology"/> This includes a diverse range of practices, such as pricking the [[clitoris]] with needles, burning or scarring the genitals as well as ripping or tearing of the vagina.<ref name="WHO - Terminology"/>

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