Although FGM is today associated with developing countries, this practice was common until the 1970s in parts of the Western world, too. FGM was considered a standard medical procedure in the United States for most of the 19th and 20th centuries. Physicians performed surgeries of varying invasiveness to treat a number of diagnoses, including hysteria, depression, nymphomania, and frigidity. The medicalization of FGM in the United States allowed these practices to continue until the second part of the 20th century, with some procedures covered by Blue Cross Blue Shield Insurance until 1977.