Repression and state violence is likely to continue to plague the Middle East and North Africa in 2012 unless governments in the region and international powers wake up to the scale of the changes being demanded of them, Amnesty International warned today in a new report into the dramatic events of the last year.

In the 80-page Year of Rebellion: State of Human Rights in the Middle East and North Africa, the organization describes how governments across the region were willing in 2011 to deploy extreme violence in an attempt to resist unprecedented calls for fundamental reform.

I remember my mother and her sister-in-law took us two girls, and there were four other girls. We went to Sarkapkan for the procedure. They put us in the bathroom, held our legs open, and cut something. They did it one by one with no anesthetics. I was afraid, but endured the pain. There was nothing they did for us to soothe the pain. I had one week of pain. After that just a little bit. I never went to the doctors. [They were] never concerned. I have lots of pain in this specific area they cut when I menstruate.