The health bill comes due twice FGM has no health benefit. Immediate risks include severe bleeding, infection, shock, and death. Longer harm includes chronic pain, urinary and menstrual problems, painful sex, childbirth complications, and a higher risk of fistula where the cutting was severe. The psychological cost lasts longer than the ceremony. Child marriage sends the bill a second time. Pregnancy before the body is ready raises the risk of obstructed labour, fistula, anaemia, and maternal death. Babies born to young mothers face higher risks too. A girl married at 15 is not a wife with a health plan. She is a child in a maternity ward. Put the two together and some girls meet both injuries: cut in infancy, pregnant before their pelvis is ready. None of that is the price of belonging to a family. It is the price of a decision adults made. #SRH4U #SayNoToChildMarriage #BreakTheSilence @UNFPANigeria @EVA_Nigeria