Why My Son Isn't Circumcised

One mothers stance against infant circumcision

My friend Peter, whose parents are Russian, grew up in America with an intact foreskin, as have all the men in his family for generations. But when he became sexually active the foreskin was so tight around the head of his penis that it did not retract easily.

Peter’s condition has a name, phimosis, and if you Google “foreskin problems” you’ll find chat groups of young men experiencing similar difficulties asking for advice.

Peter decided to be circumcised as an adult. Circumcision is part of my Jewish cultural heritage. All of my male relatives – my father, uncles, and three older brothers – have been circumcised. In the Bible, God commands Abraham to circumcise his male descendants. Practicing Jews hold a festive ceremony, called a bris, on the eighth day of a boy’s life during which the foreskin is removed either by a doctor or a mohel, a rabbi trained in circumcision. Even in countries where circumcision is not the norm, the majority of Jews choose to circumcise.

Despite the problem he had with his foreskin, Peter – a nurse practitioner who advises thousands of patients a year on medical issues – decided not to circumcise his own son when the time came.

Peter’s story in addition to the research I’ve done – witnessing the procedure firsthand, talking to men about their feelings – has convinced me that circumcision is not only unnecessary, it’s a painful and traumatizing procedure that should not be done in infancy.

Although in England less than 5 percent of men are circumcised, in America my uncircumcised son is in the minority. According to an article in the New York Times, approximately 79 percent of all adult American males are circumcised. According to Intact America, a nonprofit organization trying to stop routine circumcision, circumcision is one of the most common surgeries performed in America, happening to over 1 million newborns a year, more than 3,000 times a day, once every 26 seconds.

Every parent of an American boy faces a decision about circumcision, though the majority simply chooses to follow the doctor or hospital’s recommendation. Yet most American hospitals do not present circumcision as a choice, they simply assume that parents will opt to circumcise.

When my friend Karen’s son, born in Atlanta, was a day old, a nurse bustled in with paperwork. “Ready for his circ?” the nurse asked. Karen looked at her husband. Patrick shrugged, “I guess so,” he muttered, and the baby was taken away. Karen and Patrick assumed the hospital was making the best choice for their child, but they had obviously never discussed it.

Most parents do not watch their baby being circumcised and do not know that the procedure can be excruciatingly painful, even with anesthesia. Anyone who has ever witnessed a circumcision and heard the high-pitched scream of a newborn having part of his penis cut off (you can watch one on the internet if you don’t believe me) knows that this surgery causes pain.

Since the foreskin is attached to the head of the penis (also called the glans) like a fingernail is attached to the nail bed, in order to remove it has to be forcibly pried away. For the week or so that the cut is healing, a baby is peeing and defecating on a raw, open wound.

Circumcision can be dangerous. This past March an Atlanta jury awarded $1.8 million in damages to a boy’s parents after a seriously botched circumcision. It’s also a procedure that can cause lasting regret. My cousin so laments being circumcised that he tries to dissuade the rest of the family from imposing it on our children. Although this is not a subject broached at cocktail parties, when men take the time to talk about having been circumcised, they often regret the loss of their foreskin.

My husband is a good example. James had never really thought about being circumcised himself until our son was born six years ago. After reading up on the subject, he said: “I kind of feel cheated. I could have made my own decision as a teenager if my parents had left well enough alone.” He was horrified to realize that, in order for the penis to heal, the skin of the glans grows a covering, like a callous, to protect it.

“It’s appalling. If I’d had the choice, I would have left my body as evolution left it, with functioning parts.”

Other men feel similarly. An economist sent me this email: “Many say the anger only comes from botched surgeries, mine wasn’t. I’m hurt and upset about what happened to me as a baby boy and I have nightmares about it a few times a year. To be strapped to a board and violated like this is one of the most upsetting things that has happened to me in life… and I’m a cancer survivor as well.”

Why circumcise a baby? The trend started in America in large part to keep boys from masturbating. Physicians writing in the 19th century even suggest the surgery should be done without medication so that a child will associate his genitals with pain.

In Plain Facts for Young and Old (1882), John Harvey Kellogg writes: “A remedy [for masturbation] which is almost always successful in small boys is circumcision …The operation should be performed by a surgeon without administering an anaesthetic, as the pain attending the operation will have a salutary effect upon the mind:”

Like female genital mutilation, the idea was to make sexual sensations less pleasurable. Is that really what you want to do to your son?

Today arguments in favor of circumcision are supposedly based on scientific research. Recent health studies in Africa suggest that circumcised heterosexual men are less likely to get HIV than non-circumcised counterparts, if they choose not to wear a condom. If they wear a condom, circumcision makes no difference. Proponents also argue that urinary tract infections are less likely, and that it is necessary for cleanliness.

Yet the American Academy of Pediatricians (AAP) claims that the medical data in favor of circumcision “are not sufficient to recommend routine neonatal circumcision,” and most American doctors admit the procedure is not medically necessary.

Given the AAP’s stance against recommending circumcision, why do some hospitals encourage or even pressure parents to circumcise? Of course they make money from the procedure, as they do from every medical intervention performed. But there may be another, much more nefarious reason: Human foreskin is used to manufacture artificial skin for burn victims and diabetics, as well as high-end cosmetics. “Where does the supply of foreskins come from?” my husband asks, looking disturbed. “Adult donors?”

The male foreskin is not a superfluous body part; it protects the penis when a boy is a child and also plays a key role in female pleasure when a boy is a man. If there really is a correlation between circumcision and HIV prevention, then we should let adult men choose to have the procedure done once they decide to be sexually active.

Despite a cultural legacy of thousands of years, my husband and I did not circumcise our son. If he chooses to get circumcised as an adult, either for a medical reason or to follow his cultural heritage, that’s his decision.

Let’s keep American baby boys intact. It’s wrong to force an irreversible circumcision on a child when he is too young to decide for himself.

Comments

264 Responses to “Why My Son Isn’t Circumcised – A mother’s stance against circumcision”

  1. Oh can we PLEASE not start another Babble war of the Penises? This topic has been done to DEATH. Lady, in case you missed the last battle, I will sum up for you: BLAH BLAH BLAH BLAH BLAH… and not one person changed their mind about anything. There are health reasons to circumcise (see: STDs and smegma, jury is out on UTIs), there are cultural reasons for doing it, there is no evidence of impaired sexual function (I can match your anecdote about what one doctor thought would cure masturbation with anecdotes about men who chose circumcision and report an increase in sexual pleasure). There are valid reasons to do it, but there are also risks. If you want to leave it to your boys, fine, you don’t have to go out make sure everyone else does the same. Why don’t you take your sancti-mom-miousness and go stoke the mommy wars somewhere else?

  2. Well said Katelet. This topic has been argued over and over with people calling others names and no one changing another’s opinion. Enough is Enough! Time to move on.

  3. Katelet- You are my hero! Well said! I can’t believe this author actually put this much thought into foreskin. Be concerned about a real problem in society.

  4. Circumcision is a tradition done to little boys and girls by some, and those who believe in it think it makes the children better citizens. Good money if you can find the work. Lets err on the side of love,and leave them children alone.

  5. Thanks for the well thought out article. I am upset that so many doctors and hospitals fail to mention the certain fact that disconnecting nerves is sensory system damage to an infant! Yes, Male circumcision is nerve damage — a cutting off of about 20000 fine touch and stretch sensing nerve endings and removing a source of pleasure from the male FOR LIFE. This is 2/3 of the total pleasure source amputated! This is nerves, blood vessels, protective covering and pleasure zones taken away from a human before the human can experience this.

  6. I had my son circumcised, and I really regret my decision. He wasn’t able to have it done, until he was almost 8wks. It was very traumatic experience, for him and me (probably more so for me).
    If I have another son, I don’t know what to do. I want to say I wont do it… but then my future baby will look different than his daddy, and big brother. Truly wish I had had more facts at the time.

  7. Kudos to you!

    Here’s the comment I left on Facebook:
    We didn’t struggle at all. No way in hell was someone cutting on my baby, causing pain and risking infection, unless it was absolutely medically necessary… which circ is not. Secondly came my opinions on the practice itself (which are strongly negative) and how I think that a boy can choose to do this when he is a man if he so desires it, we have no right as parents to permanently alter our children’s bodies without their permission unless it is medically necessary (i.e. tonsils need to come out, etc). I wouldn’t cart my child off for a tattoo, I’m not handing him over to be cut either.

  8. Katelet, while you may think that this is a closed issue and can be chalked up to personal preference, there are a lot of us who don’t agree. The issue is going to keep coming up because many of us believe that when you look at actual evidence there is a reason circumcision should be presented as an option to new parents, and that there is a lot of evidence recommending against it.
    As for actual evidence of the pros and cons, the only evidence in favor of circumcision about STDs is that uncircumcised men in Uganda who have unprotected sex with prostitutes are more likely to contract a disease than circumcised men. I estimate that .0000001% of male babies born to Babble readers will grow up to routinely have sex with prostitutes in Africa. There is no other evidence that circumcision prevents STDs. And who on here is not going to tell their son to use a condom anyway?
    Smegma is only a problem if children are not shown how to clean themselves. It is also not that big of a deal if you’ve ever encountered it – you wash it off.
    Adult men who elect to be circumcised may report increased sexual pleasure, but an adult man who elects this procedure probably has a reason to do it, like phimosis. And they’re adults and can choose to pierce their genitals, remove them, or do whatever else they want. We are talking about infants.
    Jacknoknife and others have already explained the actual scientific evidence of what circumcision does.
    As for cultural traditions, these are cited all the time to justify behaviors that should otherwise be eliminated. Aboriginal fathers in Australia used to take their daughter’s virginities as a rite. Female Genital Mutilation is only culturally justified, and in some parts of the world people feel as strongly about it as Jews do about the bris.
    Ms. Margulis has examined circumcision thoughtfully and decided that cultural traditions don’t win her over. Her deliberations are interesting to many of us. Yours aren’t very well thought out and are underinformed about the facts I’ve mentioned. Quiet, please.

  9. To put your son in a MINORIY, seems unfair as well, and if you think it’s painful as an infant, how painful do you think it will be as an ADULT?

  10. I agree with katelet. This is THE oldest parenting argument on the Internet. If you go look on Google Groups for the Usenet archives, you can find arguments about male circumcision that were hosted on the primitive, text-only Internet of the early nineties when I first started reading pregnancy groups. Tradition blah blah hygiene blah blah AIDs cancer! Cruelty blah blah nerve endings blah blah mutilation blah blah risks primitive superstition sexual functioning! There, that’s the whole thing in a nutshell. I’m not saying no one ever changes his/her mind about this – I’m from a Jewish family and I didn’t circumcise my son, and I’m sure exposure to the arguments made some difference – but 99% of the posts in any such discussion are going to be from people who have already made up their minds and just want to air their pre-existing opinions for the thousandth time.

  11. I have two sons. The first was born in the states and was circumcised a decision both my husband and I agreed on. There was no problems and my son didn’t cringe in pain when he peed, it is covered in Vaseline to protect the skin from the pee. It healed quickly and no complications. We moved overseas and my second was born. Where we live they don’t do circumcisions on newborns, but he had to have one at 3 years old because the skin was adhering to the penis inside this was a genetic thing because my husband also had the procedure done when he was 12 for the same problem. That is why he is adamant of having it done as a newborn when they can forget easily and quickly. My 3 year old is traumatized by this which could of been spared if it was done when he was a newborn. Now I agree it is not an easy decision to make for some, but if there is a history of problems in the family, doing it as a newborn would be better than doing it later in life.

  12. For the record, when we had our son at the UCLA hospital, the head pediatrician applauded our decision not to circumcise. There are hospitals that are supportive.

    Secondly, circumcision rates in the U.S. are currently far below the 79 percent cited in this article:
    http://well.blogs.nytimes.com/2010/08/17/u-s-circumcision-rates-on-the-decline/

    Finally, to Deborah Ann – I’m a bit disturbed by the fact that you regard the choice to not circumcise as a negative because you are consigning your son to a “minority.” Many kids grow up as much more visible members of a minority – kids of color, kids with disabilities, queer kids. This can cause difficulties for them, not because of who they are, but because of prejudice. A boy with an uncircumcised penis may find himself in the minority when he drops his pants (or not, given changing trends in the U.S., or if he ends up living outside the U.S.), but is it worth circumcising just to keep him in the (American) majority? I would hardly consider that a compelling argument.

  13. One last point: When my son has sex, he had better be wearing a condom. The difference in health and safety between circ and non-circ is nothing compared to the difference between condom/no condom. So if public health is the issue, I would spend more time trying to change abstinence-only sex “education.”

  14. I completely disagree with katelet. The first time this conversation came up my knee jerk reaction was that you should absolutely circumcise. I grew up in a time and place where basically all of the boys were cut. I remember a girl commenting about an uncircumcised penis that she came across when we were in high school and the conversation wasn’t flattering. Why would I want to subject my child to that?! It wasn’t until I came across an article like this that my knee jerk reaction was called into question. It inspired me to really look in to the pros and cons and think critically about both. I, for one, DID change my mind. If this conversation is all played out for you, don’t click on the link. I’m still open to hearing the arguments on both sides.

  15. There is an increased risk of vaginal wall and cervical cancer among women who’s partners/spouses are uncircumcised. This is true.
    Another point, having assisted with several circumcisions of newborns (I’m a nurse), the little boys scream and cry because they’re naked and strapped to a board.They usually wear themselves out so much that they fall asleep during the actual procedure. Of the dozens that I’ve helped with, NONE of the infants cried any harder than when they are first strapped to the board. It’s heartbreaking that they cry so hard and I certainly don’t doubt that it hurts but still. Stop with the dramatics and the judging and the unsolicited bossy parent advice.
    *For the record: My son was circumcised at 6 months because he was born with his penis fused to his scrotum. The Pediatric Urologist used his foreskin as a skin graft. I’m grateful that my son will hopefully one day enjoy sexual fulfillment. It would not be possible without his repair.

  16. I didn’t circumcise my two sons, either. Thank you for this thoughtful article!

  17. Jennifer Margulis gets parents thinking and talking and commenting once again.

  18. I am completely non-judgmental of parents who choose to circumsize, but I know personally of three little boys who’ve had to have follow-up surgery to correct urinary problems caused by improper healing post-circ. I have to wonder if those parents were really informed about that risk?

  19. Thank you so much for posting this. It’s kind of appalling that parents will remove part of their son’s body because it MIGHT get infected. There is no other part of the body to which we do this. My son is a lot more likely to get an infected ingrown toenail someday — should I remove all of his toenails while he’s a baby, just in case? It’ll certainly help with that onerous task of trimming and cleaning his nails, right?

    It really alarms me how cavalier people are about routine infant circumcision. People are cutting off a part of their baby’s body for incredibly stupid reasons. So yeah, this IS a real problem in society.

    Fortunately, people are starting to actually stop and think about RIC and whether it makes sense. RIC is extremely uncommon in Canada now, and the numbers in the US are dropping.

    If you have to circumcise for medical reasons, that’s one thing. But do to it because you want them to look like their dad, or to conform to societal pressures? What message are we sending our sons when we have unnecessary cosmetic surgery performed on them when they’re only a day old, just because we don’t want them to look different?

  20. @Katy E
    Quoting you, “the little boys scream and cry because they’re naked and strapped to a board.They usually wear themselves out so much that they fall asleep during the actual procedure.”

    The truth is that they are experiencing a pain induced coma. They are literally going into a state of shock and unconsciousness due to intense pain.

  21. Oh and if an infant female, or any female for that matter, was naked and strapped to a board against their will. Would it be “ok” with you and the rest of our society?

  22. The obssession with the decisions other people make when it comes to raising their own children is getting out of hand. Circumcision and breastfeeding are two very personal decisions that are now being used to cast judgement and ridicule on other parents. My son’s penis and my breasts are none of your business. Also, just an observation, but I find it interesting that some of the most “pro-choice” people I know when it comes to abortion are the most judgemental when it comes to circumcision and breastfeeding. They seem to be ok with a woman’s right to kill her own fetus, but not her right to decide whether or not to circumcise him or how to feed him.

  23. If your article is going to make a bold statement like “you shouldn’t circumcise your son”, it needs to be a whole less one-sided. Pretty much every man’s experience, every situation you mention has an alternate side, which you decided not to include at all. Too bad, it would have given the argument a lot more credibility. I am trying to make this decision now and I found this article useless.

    No adult man wishes he had had the procedure as a child? No adult man was very pleased with his circumcision and then had his newborn circumcised? Really?? Let’s just take Peter’s word for it! His story isn’t even that interesting or compelling. Seriously, a waste of time.

  24. @ Equal, as far as babies being strapped to a papoose board, there are LOTS of instances where it’s completely fine. As in, starting a LIFESAVING intravenous infusions of antibiotics for life threatening bacterial infections, for IV fluids for a dehydrated infant. No need to get emotional.

  25. This is a HOT topic and I love that you were not afraid to address it. I am American and my husband is Polish. We made the decision as a couple not to circumcise our son. I knew we would be the minority for our decision but I could not find compelling scientific research to support the need for it to be done. Even my OB tried to share the risk of increased chance for penial cancer with me in order to “make sure” we were making the right choice. Yet, when I asked her what the risks were, she researched and came back to me admitting the risks amounted to less than 1% increased chance. You have a higher chance of being hit by a car, let’s put it that way.

    Men in countries all over the world do not consider this a common practice, with exception of religious reasons. They live perfectly healthy lives and show no more health risk.

    I know many women who choose to circumcise and that it their choice, but in all cases it was done because 1.) either they didn’t ever consider the alternative 2.) wanted little boy to “look like” daddy 3.) assumed that’s just what you do and it’s a tradition

    To each person his own, but I could not justify cutting my son for aesthetic reasons. That was my position.

  26. This is my perspective on the matter. I just had my first, a boy, in September, and this was definitely an argument that came up a dozen times before he was born, as I was completely against circumcising our son. My spouse had two points of contention, 1) aesthetics and 2) the pain of having it done when an adult, rather than at birth. I could care less about aesthetics so that argument never went anywhere :) As for the pain of a circumcision when my son is an adult, that was also a no-brainer to me. As an adult, he will be able to make an informed decision for himself and he will not only understand the concept of pain but will have most likely experienced pain from an adult perspective already and will be much more equipped to cope with it. Plus, he can take pain medications that a newborn cannot. A newborn has none of these capabilities. For nine months he’s been in a quiet, dark room, safe from any trauma or pain, and doesn’t even know the pain of hunger! To inflict such horrific pain on a newborn is incredibly barbaric to me, and there was no way I could do that. Im always surprised when people think that its better to circumcise a newborn than wait until theyre an adulttheres just no comparison in pain comprehension, coping and management.

  27. It is too bad that parents don’t know that pulling back a young boys foreskin parts to clean causes infections and it is shocking that doctors don’t know (my Ped. did that to my 4 yr old some years ago). Momoftwo you and your son got horrible medical advice. The infection thing is part myth part bad medical advice. Boys that are natural should not have their foreskin touched by others. The US medical advice was to pull it back and scrub with soap. That causes problems including infections. Natural boys really have no problems if you don’t retract THEIR foreskin. You should know that infant boys are EASIER to care for when they are natural (intact). The foreskin does not retract until late childhood or even puberty (often AFTER 12 YRS old), so you do nothing special, just wipe the outside of his penis clean and leave it alone. Furthermore, to prevent painful and bleeding erections later in life, doctors are now commonly leaving more skin behind- in a cut boy this means you may have to push the left over skin back at every diaper change and clean beneath it to prevent it from adhering or infecting. The very thing that mother’s think they avoid by circumcising!

  28. For all of you that say there is some STD, HIV or HPV issue, it is a fact that in the US (and the rest of the industrialized world) cutting off parts of a baby boys penis does not reduce the risk of getting or giving HIV, HPV and STDs. The fact is that the % of cut and natural men with HIV is about the same. It is interesting that the Africa studies (done by people trying to scare moms in the US to cutting off parts of their baby boys penis) are at odds with US conducted surveys that show men in African countries that are cut have the same HIV in the same % as natural penis men. Another Africa study was showing that cut men pass HIV to women at a 50% higher rate (until the people trying to scare moms in the US to cutting off parts of their baby boys penis stopped the study).

    The reasons for this penis cutting practice are bogus, contrived by people so wanting there to be a reason for all of the harm done for so many years. If this practice could skip a generation no one would cut off parts of their baby boy.

  29. Anon, condoms also help prevent HPV, and they don’t involve cutting body parts off of helpless infants.

    Jacknoknife makes an excellent point. A lot of parents circumcise claiming that they know this, that or the other kid who wasn’t circumcised and got an infection.

    The overwhelming majority of these infections are due to overzealous cleaning by misinformed parents or doctors, who forcibly retract the baby’s foreskin. This creates tears in the prepuce. So now you have tears in the skin, which are being exposed to feces and urine. And you wonder why they’re getting infected?

    The medical community in North America really needs to talk to their European, Asian and South Pacific counterparts, so that they can learn the proper care of a natural penis, and can then impart those lessons to parents.

    In a nutshell, “Only clean what is seen.”

    And Amanda, if parents were having their baby girls strapped down and their clitoral hoods sliced off at birth, would you be appalled? Would you speak up? Or would you just shrug it off as none of your business? This is no different.

  30. We felt strongly about this. If I wouldn’t cut my daughter’s genitals, why one earth would I cut my son’s?

  31. I just scanned through the facebook post and clicked on this one to scan quick through these comments and the same mom’s posting on the Babble.com facebook page are posting and arguing the same comments on here!! Rather than argue about this issue, can you please tell us how you find the time to write up such long comments and then go site to site posting them when you have children you are taking care of. I need to know this juggling act/trick and then use it in better ways than sitting on the internet all day.

  32. My husband is from India and was surprised that we even had to tell the hospital not to circumcise our son. Also, he doesn’t understand why people are concerned about STDs when simple acts such as using a condom 100% of the time is much more successful at preventing STDs than circumcision is. Finally he’s never had any problems with infections and nor has our son because they practice proper hygiene. Girls can have problems if they don’t clean themselves properly and we don’t advocate circumcising them.

  33. awesome article, I couldn’t agree more! Hubby wishes he had his foreskin, and we unanimously agreed to leave our son and daughter intact. If they ever have surgery it’ll be for something medically necessary!

  34. @stacey: It’s pretty easy to write lots of comments when your newborn is conked out asleep on your body – like mine is now and was earlier. Also, cut and paste takes all of 2 seconds.

  35. @Hapamama Rock on! My maid, diaper service, and take out guy have a key too! Now just to find a legal service to pleasure my husband so I can keep on bloggin’!!

  36. @katelet: you never know who is watching and may not have realised there is a controversy. For decades it was done without any discussion. I suspect for many people that’s the stone that starts the avalanche. Men who chose to be circumcised as adults had thoughtful parents who gave them that choice, and if they find sex is better, lucky for them – others find it worse. The health benefits of circumcising are exaggerated or bogus – hundreds of circumcisions to prevent one case of a treatable condition.

    @katy E: yes, when a procedure is essential to save someone’s life we may put them through necessary pain and suffering we wouldn’t otherwise. Circumcision fails that test.

    @foxycosy: “No adult man was very pleased with his circumcision and then had his newborn circumcised? Really??” How is that an argument for circumcision? He had the choice and took it – how does that give him any right to take the choice from his son?

  37. Its National Drink Wine Day. You all need to get out more often or step away from the computer and have a glass.

  38. I have a son, whether he got circumcised or not is not the issue, but is it really up to us as parents to judge what another parent decides to do? No, it is not. I think if BillyBob and Mary want to get their little one circumcised then it’s no ones concern but their own. And if BillyBob and Mary decide not to cirucumcise then it’s no ones place to judge them, either. All you can ask is that no one go into the situation ignorant/uninformed. But for some of you to act like your son is better circumcised or uncircumcised is completely stupid to me! Because I’m sure he will be loved by whomever no matter what!

  39. I was hoping for a good look at this issue from both sides. I’m dissapointed.

  40. I would not circumcise any child of mine barring a clear and eminent medical reason. I am glad to see this article because it is a subject that many parents simply do not thoroughly consider, just like the example you give of Karen and Patrick. This does not make those parents bad people, but it tells me that this an issue that we need more awareness about. As I type this I have a close family member who is pregnant. I care very much about this person and her future child, who will be my niece or nephew, but I’m not sure how to broach this topic. Thank you for this post.

  41. “…Im hurt and upset about what happened to me as a baby boy and I have nightmares about it a few times a year….”

    Uh… did I read that right?? I have no words to respond.

  42. It is not wrong for a parent to choose circumcision. The last sentence of this article is so silly I can’t even be annoyed at how judgmental it is.

  43. We circumcised both my boys (two and half years apart) after consulting with my husband. I went with each of them when it was done; I felt is was my responsibility to face to decision and to be there with them during the procedure. The only time either of them cried, and only for about 10- 30 seconds, was when the doctor injected the painkiller in the groin. There was no injection the penis, just the groin. Once the pain meds were done, I was there for the rest of the procedure. Both times neither of them made a sound while it was done. They were alert, eyes open and looking around, but no fussing.
    Cleaning the area during diaper changes was, at times, hard on a squirmy baby, but not terrible.Yes, i had to be super careful about pulling the extra skin down and keeping it clean, but it was not impossible, nor did it seem to cause pain.
    Maybe I was lucky to have practitioners who were very careful and very concerned about pain management. I found the whole thing to be as fuss free as possible, all things considered.
    I understand and empathize with the arguments against male circumcision, and maybe I’d make a different choice if I were presented with it now. But the whole experience was straightforward, as pain free as possible (to my observation of two separate cases of both my sons not crying during circumcision), and generally unremarkable.
    As for feeling in the penis and possible problems… my husband (and other guys I’ve been with who have been circumcised) doesn’t seem to have ANY problems with sensitivity, pain, or the ability to feel pleasure. Since I don’t have a penis, I felt pretty comfortable leaving most of that decision to him.
    At the end of the day, it is a personal, family decision.

  44. How are condoms working in the real world? Roughly 1 in 4 women past puberty is infected with HPV, the sexually transmitted virus that leads to cervical cancer. All those scientists who are trying to “scare” moms are actually trying to keep your sons and daughters free of real and awful diseases. They’re probably not going to call you for advice the night of the prom or the frat party or … but they might call for emotional or financial support during their medical treatment. Ask a friend how intact she feels after cervical cancer.

  45. And can we address the big dodge here? The author notes the new science supporting circumcision for public health, but then says the the AAP’s existing policy against offering routine circumcision means these medical arguments must be bogus. The trouble is, everyone who has followed this issue at all knows that the AAP is planning to issue some kind of a new policy specifically BECAUSE of all this new science.

  46. One thing to think about: if uncircumcised penises were THAT unhealthy, wouldn’t we be seeing major epidemics of infected penises and penile cancer in Europe and Asia, where circumcision is extremely rare?

    And even if circumcision does slightly reduce the risk of HPV, it certainly isn’t a 100% protection, is it? Perhaps we’d be better off putting our energies into educating people about safer sex and the merits of the HPV vaccine?

    And ans27, yeah, I AM going to judge parents who do this, particularly for stupid reasons like wanting the baby to look like his father. Anybody who causes irreversible physical harm to their child for such superficial reasons deserves judgment. If they circumcise because they genuinely believe it’s healthier, then no, they do not deserve to be judged — but they DO deserve to become much better informed. Too many parents don’t even research circumcision. They just do it because it’s what “everybody does” — and we really need to start questioning that.

  47. I think that the only person to decide what to do is the child when he grow up.

  48. Kellogg is hardly the person to quote about your dubious theory about masturbation as a reason for circumcision. he also believed in sexual abstinence and yoghurt enemas – no trends there. It’s far more likely that people began accepting the ideas behind germ theory as a cause for illness … The idea that contact with cells from one person’s body can make person sick.

  49. We decided to leave both of our sons intact (my husband is circumcised.) We know they will be in the minority in the U.S., but the trend is changing. Why cut off part of the body without reason?

  50. I see the editors have changed one of the headlines; it no longer reads something like “I didn’t circumcise and you shouldn’t either.” You should make a note when you change it; otherwise earlier posters’ comments don’t make much sense.

  51. And KateB, there IS a reason for people to do it, even if it’s not a reason you accept.

    To quote the Globe and Mail story on just the most recent study from Johns Hopkins:

    “Circumcision removes the foreskin of the penis, which is rich in immune system cells targeted by HIV and perhaps other viruses. Taking off the foreskin likely makes the penis less likely to carry a range of microbes, Dr. Wawers team said.
    Male circumcision has now been shown to decrease HIV, herpes simplex virus-2, and HPV infections and genital ulcer disease in men, and also HPV infection, trichomoniasis, and bacterial vaginosis and genital ulcer disease in their female partners, Dr. Wawers team wrote.”

    For anyone who believes that condoms prevent disease as well as they prevent pregnancy, they simply don’t. Even in the unlikely event that we could get all our sons and daughters to use them correctly all the time, they simply don’t prevent genital contact, which is what you need to prevent the transmission of HPV.

    Thus, male circumcision reduces the risk of several sexually transmitted infections in both sexes, and these benefits should guide public health policies for neonatal, adolescent, and adult male circumcision programs.

  52. Let’s try that with paragraphs
    PARAGRAPH
    And KateB, there IS a reason for people to do it, even if it’s not a reason you accept. To quote the Globe and Mail story on just the most recent study from Johns Hopkins: “Circumcision removes the foreskin of the penis, which is rich in immune system cells targeted by HIV and perhaps other viruses. Taking off the foreskin likely makes the penis less likely to carry a range of microbes, Dr. Wawers team said. Male circumcision has now been shown to decrease HIV, herpes simplex virus-2, and HPV infections and genital ulcer disease in men, and also HPV infection, trichomoniasis, and bacterial vaginosis and genital ulcer disease in their female partners, Dr. Wawers team wrote.”
    PARAGRAPH
    For anyone who believes that condoms prevent disease as well as they prevent pregnancy, they simply don’t. Even in the unlikely event that we could get all our sons and daughters to use them correctly all the time, they simply don’t prevent genital contact, which is what you need to prevent the transmission of HPV.
    PARAGRAPH
    The Johns Hopkins team concluded:
    Thus, male circumcision reduces the risk of several sexually transmitted infections in both sexes, and these benefits should guide public health policies for neonatal, adolescent, and adult male circumcision programs.

  53. If you think there aren’t a lot of infected penises in Europe … The rate of HPV infection in one European country, England, goes from nothing to quite a lot as soon as girls hit puberty. It rises to 10 percent in girls under 16! It is 20 percent for women between puberty and 30.

  54. Sexually transmitted HPV infection is believed to cause over 99 percent of cervical cancer, which kills 3,700 women a year in the U.S., but 274,000 people a year worldwide. And that’s not counting all the women who were cured with options such as hysterectomy.

  55. You know what else prevents HPV? The vaccine.

  56. This relatively new vaccine costs several hundred dollars per person and will likely not be accepted by the growing anti circumcision “intactivist” movement, who tend to view both vaccines and circumcision as unnatural and risky. Perhaps they are hoping their daughters can coast on the herd immunity that might eventually be offered by vaccinating families if vaccination rates rise. Unfortunately, right now, HPV vaccine rates remain extremely low. Fewer than 1/4 of girls have received even one of the three required shots.

  57. And here’s hoping they’ll develop vaccines for herpes and HIV; obviously there’s nothing like that available for a parasite like trich.

  58. While some HPV causes cervical cancer, it’s a very common virus that most usually does not. The reduction in HPV supposedly caused by circumcision is relatively slight (it’s not seen in population studies), and no studies have found a direct link between circumcision and cervical cancer. Wawer et al. have produced a flurry of studies supporting circumcision for all sorts of diseases, but they stopped one study that was starting to show that circumcision INcreases the HIV risk to women (who are already at more risk than men).

    Anon is right, Kellogg was nuts, but people listened to him back in the day and that’s one way circumcision became common in the US. In the rest of the developed world, it’s very rare. The rest of the English-speaking world tried it, found it did no good, and has virtually given it up. It’s now hard to find a doctor willing to do it. The US is on its own in still doing this.

  59. It’s hard to say what kind of direct link you are looking for. Infection with HPV is 28 percent more likely with an uncircumcised partner, according to one study. HPV infection is believed to account for more than 99 percent of cases of cervical cancer. Yes, HPV infection doesn’t ALWAYS result in cancer. Sometimes the body is able to fight the infection; very often it becomes a precancerous condition. Of course, treatment for these pre-cancers is painful and expensive and often leaves women infertile. No matter how you try to slant it, HPV infection is serious and trying to eliminate it is an unambiguous good.

  60. Did you know that a third of women in the US aged 14-24 have HPV infection? Did you know that about 75% of adult men in the US are circumcised? Sounds like there are a lot of infected circumcised penises in the US! I am a 23 year old woman with HPV living in the US. I have only ever been with 2 men who were intact. One of them we never had sex without a condom, the other was one time without a condom. I hate to admit it but, I have been with 15 circumsized penises, and most of them were unprotected. The likelyhood that I contracted the virus from one of my intact partners is very low.

    I will never understand how anyone can believe the unfounded misinformation that is used as an excuse for the genital mutilation of newborn baby boys. I find it repulsive.

  61. Peaceful mama, condoms can reduce the risk of an infected man spreading HPV, but that’s about it. They don’t prevent the risk. As long as there is genital contact, you don’t even need penetration to spread HPV. You can get it with a condom or without a condom. All you need is an infected partner. But the infected uncut partner is more likely to give you HPV.

  62. It’s completely unfair to compare circumcision in an American hospital to female genital mutilation. No, the foreskin is not the equivalent of the clitoris (that would be the glans, or head of the penis, which is made more pleasurable and sensitive by removal of the foreskin). You could compare it to removing the hood of the clitoris, except that there is no medical benefit to removing the hood, whereas there is a known medical benefit to removing the foreskin. Personally, I just find foreskins gross. I don’t want to clean under them, I think they look dirty, I think they smell bad, I’ve only seen one as an adult woman and it was on a man who was trying to rape me (unsuccessfully, thank you). All you activists should stop making things up, ignoring any medical evidence that goes against you, and let it go. There are bigger issues in the world than foreskins.

  63. Kate, you want to talk about unfair? It’s unfair to say that by smelling one foreskin that smelled bad, that they all smell bad! Feet can smell really bad too, should we remove them for that reason? Well, that’s ridiculous, isn’t it? Yes, because feet have a purpose… as does the foreskin! Let’s get one thing straight– there is no medical benefit to circumcision, except in the rare case of phimosis, but even that can be dealt with naturally before deciding on the surgery– in Europe, they are far more conservative in waiting to see how the foreskin stretches. Here in the US, with less experience in uncircumcised penises, our doctors don’t necessarily know how to deal with foreskins! Sometimes taking a “wait and see” approach is all the foreskin needs.

    It’s also interesting that you accuse the “intactivists” of making things up and ignoring medical evidence, when typically people choose to circumcise for the most trivial reasons, e.g: I don’t want to deal with cleaning it; it looks funny; all the men in our family are circumcised; I don’t want my son to get teased in the lockerroom; I want my son to look like his dad; or, I think the foreskin looks dirty! Yeah, those are medically-minded reasons alright. [Sigh] You don’t have to deal with cleaning it, just rinsing it with water really is all it needs. A foreskin looks no funnier than a circumcised Darth Vader head! So what if all the men in the family are circumcised, if women followed that philosophy, we’d still be in dresses, sitting in our homes cooking, cleaning and having no opinion! Um, a boy is more likely to get teased for looking at other boys penises than pointing out the uncircumcised penis in the room! Chances are your son isn’t going to look exactly like his dad, there are two people that added to his genes after all and why would a father and son need to bond over their penises matching?! I can’t even comment on the idea that a foreskin looks dirty other than it’s utter nonsense!
    Sorry for the snarkiness, but your arguments are purely anecdotal and personal rather than logical and factual! People that choose not to circumcise probably spend far more time researching to make a thoughtfull, fully-informed decision than those that end up circumcising.

  64. I agree with this post completely. I have at times resented being cut when many of my friends are not, and they get a choice in the matter.
    There is no medical need for it to be done at birth, so it should be left up to the man who will live with the consequences. To you who say that you like circumcised ones better: good for you. If you have one, you can have it cut off. Other people don’t like cut better. They should be able to make that decision for themselves, yes, even if they are your son.

  65. I disagree… and think this is not an objective view at all. Only 1-sided arguments here…. I WAS there when my son was circumcised and he didnt make a sound. He HOWLED when they put the polio drops on his tongue… so he HAS a voice! There is research to say that the nerve endings are not yet connected in the first 14 days, and that it discomfort more than pain they feel. I think this is a personal choice. And there are health concerns. I personally know someone who HAD to have this done later in life due to a nasty infection. It was the most painful thing, and healing took long. My sons was healed in 3 days!! New procedure didnt have stitches either. i think you are allowed your own opinion. But also, know both sides of the story. Hygiene is important for uncircumcised boys, and you dont know what life is going to bring him. Should he be in a war or become homeless 1 day and he cant have a bath, chances are HIGH that is the part that will go rotten first.

  66. I agree that parents should discuss this issue and not leave it as a default. My husband and I have discussed this, and have agreed that if we have a boy, we will circumcise. It seems to me that it would be a lot more traumatic to have this surgery as an adult.

    If you want to avoid all pain for your newborn, do NOT let the nurse heelstick your kid. My daughter screamed and screamed as the nurse relentlessly squeezed her foot to get out 10 drops. (And it took forever to heal.) I was crying hysterically. Apparently they normally do this out of parents’ sight. Serves me right for rooming in. Of course, my daughter also screamed like she was being murdered when she was changed. Or bathed. I learned to get over it.

    My point is, I’m sure circumcision is painful, but I’m also sure they get over it. It is in a long list of things your baby will find painful/uncomfortable.

    In terms of many men wishing they hadn’t had it done, that just isn’t my experience. Every man I know has been circumcised, and they all say they are glad about it, and all knowingly, willingly and willfully have their sons circumcised.

    If you don’t want to have your son circumcised then don’t. But let’s not get silly and overexagerate the impact.

  67. It’s just weird

  68. Well let’s not understate the impact of circumcision either to justify your desire to do so to your son!

  69. annon, healed in three days? I hardly believe that! I saw my nephew at 3 months and his glans was still very reddish-purple, sticking to his diaper and hardly looked like it was comfortable for him. You can ignore cognitive dissonance all you want, the bottom line is the nerves are there and it is a painful procedure. Follow the links provided below by Intactavist and watch Dr. Dean Edell as well as other medical professionals discuss this.
    I’m sorry but to decide on a circumcision at birth because your son may (!) be in a situation such as war (geez!) or something else where they may not be able to shower and could possibly get an infection?! I mean, really?1 Really?!

  70. The cosmetics companies get the majority of their material from placentas and aborted babies, not foreskin. I’m sure the foreskins are also used, but it’s a drop in the bucket compared to what the abortion industry can provide.

  71. Wow whatever guy is sitting around worrying or having nightmares about their circumcision is an outright pussy. Get the f over it and move on, seriously. Its a freaking penis for god’s sake, its good for two things, peeing and sex.

  72. And once again, I reiterate, there is NO other part of the body that we remove off of babies when they’re born, on the off-chance that they MIGHT become infected someday.

    As far as the cleanliness issue, it’s not that complicated. It’s actually a lot harder to clean a baby girl’s vulva, with all the folds and nooks. Should we cut off their labia at birth, so that everything’s easier to clean? Of course not — any parent who tried that would be locked up. So why are such pathetic, shoddy excuses acceptable when talking about cutting off healthy, functional tissue from a baby boy’s penis?

  73. I think the point is not only that the boys themselves might someday be infected, but that they will grow up and infect their wives and girlfriends, who will then be subjected to sexually transmitted diseases that range from the painful to the fertility destroying to the deadly.
    I’ll reiterate – the foreskin is especially susceptible to disease, but it is not essential for “peeing and sex,” as Devin put it.
    To quote: “Circumcision removes the foreskin of the penis, which is rich in immune system cells targeted by HIV and perhaps other viruses. Taking off the foreskin likely makes the penis less likely to carry a range of microbes, Dr. Wawers team said. Male circumcision has now been shown to decrease HIV, herpes simplex virus-2, and HPV infections and genital ulcer disease in men, and also HPV infection, trichomoniasis, and bacterial vaginosis and genital ulcer disease in their female partners.”

  74. It is sad when people feel that they have to defend a custom that – if done to a girl – would be considered child abuse and a pure violation of her human rights.

  75. Organs don’t cause infections irresponsible people do. The foreskin tissues produce anti viral and antibacterial secretions, and do not ‘absorb’ viruses and other infections. To say they do and try to mislead others into injuring by circumcision is also irresponsible. Anyone thinking they have a right to fraudulently recommend circumcision because they have a religious bias should read Maimonides who said circumcision should be for faith alone.

  76. Irresponsible people? You mean all those virgins who don’t marry other virgins and stay faithful for life? Those people? Those “irresponsible people” you’re talking about may well be your kids.

  77. I just CANT STAND the idiots saying “Don’t be so judgemental!”
    You know very well you’d all be judgmental if a parent cut off their daughter’s clitoral hood! And don’t try to say “but that’s different” no it’s not!
    Cutting off a finger isn’t acceptable because cutting off a hand is bad! Lesser severity doesn’t excuse the crime. You’re cutting off a HEALTHY body part from a non consenting individual! and it takes one hell of a sick or stupid individual to inflict that on a newborn child!

    This is NO different!

    What kind of repulsive parent would even WANT the right to deprive their children of SEXUAL BODY PARTS?

    This isn’t the dark ages kids, grow up. Cutting off body parts from infants is wrong.

  78. This isn’t done to girls in developed nations. You can argue this point if you want but its actually not relevant. Clearly injuring someone to the point of damaging them is one thing. I can tell you I’ve live my whole life circumcised and its never been a problem. Lets stop distorting reality here folks. All of you passionately opposed, thats great. All of you passionately for, thats great. The act of getting this done comes down to a family decision and that is how its going to be. Seriously one of the dumbest conversations I’ve ever been a part of but the ridiculousness of the responses has kept me interested.

  79. Devin, Circumcision is an extreme violation of human rights. You can’t possibly presume that you wouldn’t have loved having a foreskin, and now because your society treated you like property of your parents you won’t ever get the chance to.

    Being happy or just dealing with the fact that you had your genitals mutilated at birth should not be the default.

    In reality, you take away ANY body part from a newborn child that person will grow up accepting life. This is NOT an excuse to deprive them of their normal and healthy body parts, and i am appalled that ANYONE would suggest that just because they themselves have had a body part deprived from them at birth that it’s acceptable to inflict the same on others.

    Choosing what normal, healthy, body parts NEVER was a parental prerogative, and anyone who fools themselves into believing it’s a family’s choice to pick and choose what body parts their children will take into adulthood really needs to understand how ridiculously monstrous of a person you seem.

    Though nothing and i mean NOTHING is more inexcusable than the American view that Females are born with special rights to their own body whereas males are born able to be mutilated/maimed/altered to suit whatever sexually appealing aesthetic the parents deem fit.

    What’s dumb is people think that this isn’t black and white. It’s really as simple as cutting off body parts from infants = bad. Leaving them to grow up with all normal,healthy,functional body parts to decide for themselves if they want to amputate = good.

  80. On the contrary. Parents have been making this decision for thousands of years, if not more. Before the invention of condoms. Before vaccines. Before monogamy. This may be one of those traditional practices that had a lot of wisdom to back it up.

  81. Tradition does not validate this atrocity.
    There is no wisdom, aside from the millions of men brainwashed into believing that they would not have enjoyed having a foreskin in the first place.

    Circumcision relies on the denial that one is missing anything.
    And some perverted sense of pride that one was deprived of the most sensitive parts of their genitals.

    Circumcision relies on ignorance and complacency of it’s victims to survive.

    Because in reality VERY few would seek to have their genitals mutilated.

  82. @anon: actually this has only been an exclusively parental decision since 1972. Before then (when “informed consent” became law), doctors could do it and commonly did it without asking, or it was a custom of the community that overrid what parents might want. It can’t be true that it arose in antiquity for health reasons because under those conditions it’s much more dangerous than anything it’s claimed to prevent. (Rabbis discussed how many brothers could die before one could be excused.)

    @Nasrin: “It seems to me that it would be a lot more traumatic to have this surgery as an adult.” It wouldn’t actually, because then he could control his own pain relief as a baby can not. But more to the point, he will almost certainly never need or want it done as an adult. We don’t go doing surgical removals just becauase he or she might need them done one day. @devin Even if you think you weren’t damaged by circumcision (and you don’t know what you’re missing), many men do, and they had a right to be simply left alone.
    ALL genital cutting of girls is outlawed, no matter how minor, sterile and painless, with no exemption for religion or culture, and no reference to “injuring them to the point of damaging them”. The AAP flirted last year with allowing a token ritual nick of girls “much less extensive than male genital cutting” and had to back down, so great was the outrage (led by Intactivists). Why the double standard?

    @anon “There is research to say that the nerve endings are not yet connected in the first 14 days” There is? Please cite it. They used to say “babies can’t feel pain” but that was just wishful thinking. Why would nature discharge a baby into a painful world with some nerves not yet connected? Taddio et al. found circumcised babies reacted differently to the pain of vaccination, months later. How could they do that if the nerves “hadn’t been connected”.

    “I think this is a personal choice.” EXACTLY! And who is the person most directly involved, the only person who has any right to make this choice?

  83. Circumcision plays on men’s weaknesses.

    First of all it is inflicted upon us as children when we have nothing but trust for our parents while they allow us to be permanently disfigured and mutilated.
    How could a parent possibly want to do anything wrong to us?
    Second of all, it is often used as an initiation right. And nobody likes to feel alone.
    Thirdly it plays on the fact that most men are forbidden to criticize their own genitals.

    This is sexism in it’s truest form. Altering the most physical aspect of manhood and then playing on our weaknesses to force the victim to validate what has been inflicted upon him.

  84. Do you not see how selection bias for this study would destroy the validity of these results?

    Would a man who loves his foreskin sign up to study the effects of having it amputated?

    Would a man who is so obsessed with having his genitals permanently disfigured willingly admit that he made such an irreparable mistake even if he found less than desirable results?

    It’d be comparable of having a study that declares breast implants to improve sexual pleasure. It’s not the breast implants, it’s the bizarre sense of confidence that the one who desire to have their body physically altered feels when attaining the desired result.

  85. Hugh, I suspect you are citing a rabbinical discussion about how to handle families with a history of bleeding disorders. Regarding doctors – the overwhelming majority of human births through history have not taken place anywhere near a doctor.

  86. I’m glad Jennifer broached this topic. It NEEDS to be discussed. The last thing boys/men need is for this to be swept under the rug, again. I heard that circumcision was the #1 parental controversy in 2010.

    Parents considering infant circumcision should check out Circumcision Decision-Maker. A few minutes spent there will be time well spent.

    href=”http://circumcisiondecisionmaker.com/”>

  87. Circumcision is a dreadful operation that destroys protective and sexual functions. It dooms a child to a lifetime of inferior health and well-being.

    Parents have an inherent duty to protect the physical integrity of their children. Consent for non-therapeutic circumcision is a clear violation of their duty to protect the physical integrity of their children.
    Those parents who defend circumcision are usually defending a decision that they have made in the past. Those parents usually carry a sense of guilt because they had their infant son mutilated and violated their duty to protect his physical integrity. Defense of circumcision is their way of avoiding guilty feelings. When one reads a defense of circumcision one should remember the psychology that generates the defense of circumcision.

  88. Joshua you are losing it buddy. Mutilation insinuates that there is long term damage. Removal of something, whether its been requested or not, does not mean there has been mutilation. The fact of the matter is the most substantial difference between cut or not, is the visual difference. And for god sakes stop trying to say that its such a problem because we don’t allow the child to make the choice, should we just let children make all their own choices from now on? Why don’t we just abandon kids once their born just so they don’t grow up and blame us for making decision for them? Get real.

  89. @Devin

    You could not possibly be more wrong. With that being said, mutilation and body modification are two separate entities. One entails the the non-consensual removal of any part of their body. Two entails a conscious effort to seek a change in ones self. Infant circumcision, by its literal definition is mutilation.

    Sources:
    Wikipedia.com – “Mutilation” or “maiming” is an act or physical injury that degrades the appearance or function of any living body, usually without causing death.

    For a list of the multiple Tissues/Functions removed from NON-consenting infants legally and for profit in America.
    http://www.norm.org/lost.html

  90. To be strapped to a board and cut sounds traumatic indeed. Of course, it also covers my c-sections, and my last dental appointment. Maybe someone with nightmares over a babyhood procedure has other problems and should not be the guidepost to decide what is reasonable. I understand the author’s argument about letting men decide for themselves, but my friend who had to undergo the procedure as an adult and told me the exact opposite. He wished to heck he could have done it as a baby. So, I think as a parent there is no way to win when making decisions for your kids. You don’t know what they will blame you for later. Just save up for the therapy bills either way.

  91. No, Devin, the visual difference is not the most substantial. Missing roughly 50% of the covering of your penis is the difference. This “extra” skin is there for a very good purpose: to comfortably accomodate an erection. It also serves as a buffer between the sensitive head of the penis and anything that rubs against it, since it is supposed to be a moist internal organ, like the inside of your cheeks. The foreskin provides a built-in gliding mechanism that feels really good for both the owner of the penis and his partner. It makes sense that if you grow up circumcised, you don’t know what you’re missing. People adapt to all sorts of disfigurements.

  92. Circumcision was done in antiquity, but it was left there. In America it was done only by the 3ish% who were Jewish or Muslim. It didn’t become common until the 1850′s when it was promoted to stop masturbation. At that time they believed that masturbation caused a host of medical problems including epilepsy, schizophrenia, and blindness. The practice peaked in the 1980′s and has been on the decline ever since.

  93. Love the article. and I hate that it had to be written. It’s so sickening that we have to sit around and discuss whether to peel back and cut away an important, functioning, protective, and pleasurable organ from the genitals of a healthy baby boy. It is an absolutely disgusting practice that takes away the basic human right to the whole body.

  94. Adrienne, I agree with your overall message, but will correct a mistake you’ve made. The glans is the LEAST sensitive portion of the penis. The most sensitive parts are the foreskin “lips”, the ridged band on the inside of the foreskin, and the “little bridle” frenulum that ties the foreskin to the penis. Circumcision regularly removes all of the foreskin and most of the frenulum, leaving the penis with only one-fourth of its original sensitivity. Circumcision is more than a disfigurement, it is de-sensing, too. Men circumcised as adults say sex afterward is like seeing in B&W instead of in color.

  95. After doing the research, we decided to leave our son intact. It’s the right thing to do.

  96. @Merrick,
    “To be strapped to a board and cut sounds traumatic indeed. Of course, it also covers my c-sections, and my last dental appointment”

    This is completely different because you were a consenting adult when these things happened. We are talking about a newborn baby boy who neither consents nor understands, and just wants to be warm on his mother’s chest.

  97. OMG!!! Another 2 minutes of my life wasted. Let each parent make the decision for their kids and stop using half facts to scare new parents.

  98. @ equal first of all wikipedia is not actually the best reference in the world, just a heads up. second “degrades appearance or function”. The appearance degradation is relative to the country and is subjective, so you fail on that point. Prove to me that I’m missing function, if you can’t prove it then its not mutilation based on your definition. I don’t have an issue with having sex, and I’ve never stood there with my dick in my hand taking a piss saying “gosh this just isn’t working right”.

    @Adrienne, do you have a penis because you’re speaking as if you know? I have never needed more “gliding action”, so that certainly isn’t a convincing point for keeping it. A “moist cheek” just kinda makes me feel gross so you miss on that one too. You said its not about the look at all put your last comment makes me think you are lying to yourself. Piercing an ear could be considered a disfigurement if you don’t like it but people in this country like it. Which by the way the definition of disfigure is to literally “spoil the attractiveness” which again goes against your saying its not about the visual difference. Now I can already guess where the next comment will come from “..but piercing ears are done at a persons consent?!” Chopping that foreskin probably IS more painful so doing it when the kid won’t remember would seem like the best choice, as a parent.

    My personal opinion is that there are a lot of you that are far too aroused over a little foreskin. I’m amazed that any of you think about penis this much during the day.

  99. Just because you were born into a culture of cutting does not mean it has to continue. For more information on circumcision here is a link to the Royal Dutch Medical Association’s policy AGAINST MALE circumcision. It is the first of their ‘Publications in English’ on the right hand side.

    http://knmg.artsennet.nl/Over-KNMG/about-knmg.htm

    I would also suggest watching these videos…

    Penn and Teller Bullshit on Circumcision
    http://www.theshaffers.org/announcements/archives/2010/08/31/penn-teller-bullshit-circumcision/

    Brave Nurses
    http://www.youtube.com/watch?v=qbpQY6t3oIw

    And checking out these links to tons more information…

    Peaceful Parenting- Are you fully informed?
    http://www.drmomma.org/2010/01/are-you-fully-informed.html

    The Whole Network
    http://www.thewholenetwork.org

  100. @ Devin- Does your foreskin glide up and down the shaft of your penis?

  101. Wow Devon. I imagine you were circumcised at a few days old it is all you know. Tight skin, chaffing of me and my wife, less sensitivity and a bend. I bet you have never seen a video of it. It is horrifying. All this for nothing.

    I cannot imagine any real man would support such abuse to defenseless newborns.

  102. Sorry Devin not Devon.

  103. @Nate, Oh yeah, I guess I forgot how I walk around all day thinking about my tight penis skin. Wait, nope that never happens. If chaffing is your issue grab a bottle of lube, they even make it in an eco friendly style so you can’t complain about the unnatural ingredients. A bend? I cannot imagine any real man crying about something as ridiculous as this. Suck it up buttercup. I bet we are going to hear next from someone who blames all of their life problems on the fact that their parents snipped just the tip.

  104. So I should suck up things that was caused without my consent to my body. So you must say this to women who are raped too right? I will not do such things to my sons.

    Its not the tip devin. Its a lot of skin. You clearly are ignorant and as I said have not seen a video of the procedure. What too scared of what is done to helpless infants? Like I said not a real man. Real men don’t condone the abuse of children’s sexual organs.

  105. Here’s a surprisingly good summary of actual research about sexual performance and satisfaction after adult circumcision, complete with a table that notes peer review and statistical significance. Most studies seem to find that circumcised men are less likely to ejaculate prematurely; the largest studies with the most statistical significance find that circumcised men have fewer problems staying hard.
    http://en.wikipedia.org/wiki/Sexual_effects_of_circumcision

    But again, all this pales compared tothe fact that circumcision offers an important public health benefit in reducing sexually transmitted diseases including HPV -a now epidemic virus that doesn’t get talked about much but that lead to cancer, infertility and death for women.
    http://www.theglobeandmail.com/life/health/male-circumcision-helps-stop-hpv-which-is-linked-to-cervical-cancer-study/article1861129/

  106. anon, I took a look at the Globe and Mail article by Maggie Fox. I couldn’t get past the title: “Male circumcision helps stop HPV, which is linked to cervical cancer.”

    Let’s see if I have this right. She and the researchers are saying that it is OK to cut off part of the genitals on male babies against their will to benefit adult females.

    Now for the acid test. Let’s reverse the genders: Forcibly cut of part of the genitals on baby girls so that adult men might not get a disease. Sounds horribly sexist, doesn’t it? That’s because BOTH scenarios are sexist. Heck, Dr. Mengele would be proud. :(

  107. When I was pregnant with my son, I had mixed feelings about circumcision. I was convinced that it was not strictly necessary, but I also knew that it is a custom so pervasive here in the U.S., that if I decided not to circumcise, my son might later wish I had.

    So, not knowing what it’s like to own a penis, I decided to consult my husband, and probably defer to his wishes on the point. We discussed it several times. He said he wanted to circumcise, and said he was given to understand it was a hygiene issue. I told him no, that as long as boy is taught that he should wash under the foreskin when bathing, that it shouldn’t be a hygiene problem.

    So I asked him what he thought about letting our son decide for himself when he is older. My husband had a few issues with that: 1) He went to school with a couple of boys who were uncircumcised and those boys were ridiculed mercilessly in the locker room for all their days of school (I understand that such ridicule would stop if non-circumcision were to become more common, but that’s not the point here. We’re talking about what IS, not what SHOULD BE). 2) My husband believed that our son would almost definitely end up wishing to be circumcised but would end up having a more painful/traumatic experience since he would remember it OR he would want to have it but would be too scared, and would wish that we had done it for him as a baby. I think there are lots of valid reasons NOT to circumcise, but the reasons TO circumcise are just as persuasive to me.

    Finally, I told my husband that I’d read that an uncircumcised penis has more sensitivity. He laughed and said, “The last thing I need is MORE sensitivity there.”

    We circumcised. The hospital assumed nothing. We were asked if we planned to and then the doctor explained what would happen if we chose to do it. He said we could attend the circumcision if we wanted to. My husband did. The doctor had him dip his finger in sugar water and let my son suck on it while the circumcision happened. It was quick, and my son did not cry.

    Did we do the right thing? I don’t know. But I do know that my son’s quality of life will probably be no worse because of it. I really think, and my penis-owning husband enthusiastically agrees, that the men who obsess over their circumcisions and blame them for sexual, emotional, or relationship ills, would have had issues regardless, and the circumcision is easy to blame. Let’s face it: if you’ve grown up well-fed, well-clothed, and well-loved, you’ve got little to complain about. I sympathize with intactivism, but I think men who are deeply angsty about it have other shit going on that then gets projected onto an identifiable event like a circumcision. If he’s NOT circumcised, he will blame his maladjustment on the piano lessons you made him take, or the hand-me-down Members Only jacket you made him wear.

    I respect the choice not to circumcise. I just don’t think there’s much at stake on the issue.

  108. Dan, if you manage to read past the title, you’ll see circumcision reduces sexually transmitted diseases suffered by both men and women, including HPV, herpes and HIV. SLMama, I think you hit the nail on the head.

  109. @Devin– you are merely reducing dissedence with your argument for circumcision. Of course you are fine with your circumcised penis. It’s all you’ve ever known and you can’t get the foreskin back so what’s the point in focusing on it? But you can’t deny that there are men out there that do wish they had been given the choice for themselves. And it doesn’t make them “buttercups.” It makes them thoughtful, respectful and compassionate men that are willing to break the cycle of an unnecessary procedure. And believe me, they may not be coming clean in this forum, but there are many parents that regret doing it to their sons in infancy! Many! Bottom line: it is unnecessary!
    Since you brought up ear piercing, I will comment here that piercing the ears of infants is very much the same (in principle) as removing foreskin in infants. I believe it should be the choice of the individual.
    You can’t compare this parental choice with the others we have to make as parents. It is purely cosmetic when it is done in infancy and that is an irrational, irresponsible reason to do so. Sorry you don’t like that, but it’s true!

  110. @anon, if you read past the general misinformation that the media sends out, you will find that condoms are the only way to prevent STD’s! This is just not a plausible argument! You can’t look at one study. There are studies out there that counter that data. And, that data was collected in Africa in a densely HIV/AIDS-infected population that happens to also have a low circumcision rate! Please!? If a woman is having unprotected sex with an STD-infected man, she is going to get what he has whether or not he still has his foreskin! As well, if a woman is having protected sex with an STD-infected man, she most likely (as long as they use protection correctly) will not get what he has whether or not he still has his foreskin! Information like the study you mention only becomes misinformation in the minds of the uneducated b/c now you have some women thinking that as long as they are having sex with circumcised men, they are safe from STD’s! As for HPV, there is an HPV vaccine now. It’s interesting that so many parents want to research the vaccine b/c it’s new and they don’t know what the side effects may be (despite the medical and technological advances we’ve made in vaccine development) but they won’t bat an eye to an unnecessary procedure b/c it’s been done for generations despite having NO medical data to back it up! There is no medical reason for a circumcision at birth!

  111. Devin, no I don’t have a penis, but with that argument you seem to suggest that women should not make a decision regarding circumcision because they do not own a penis. I would go further: men should only make a decision about circumcision, if it is their own penis.
    At any rate, I think you kinda get to know how a penis works when you get in contact with one, no?
    By “moist cheek” I meant the inner cheek that you touch with your tongue. The head of the penis has similar tissue and when not in use or aroused, it is covered in all mammals.

  112. Gpod article.

  113. Condoms are the only way to prevent STDs?????!!!! Yarg! Intactivist, condoms do not eliminate the risk of HPV or herpes, because they do not eliminate skin to skin contact. At best, they cut the risk. Circumcision also cuts the risk. That is because a circumcized man is less likely to GET a number of sexually transmitted diseases in the first place, because the cells of the foreskin are so uniquely susceptible to infection.

    As I mentioned earlier, it would be lovely if condoms and vaccines were the total solution. However, a look at the real world shows that they are not. Fewer than 1/4 of adolescent girls have received even one of the three required (and expensive) shots to prevent HPV, and HPV – which is believed to be responsible for virtually all cases of cervical cancer – is pretty much an epidemic in this country.By the way, it’s recommended for men now, too.

  114. @Devin
    You must be stupid. One- I referenced Wikipedia for a “definition”, which gave me the same definition word-for-word as Websters dictionary. Two – Clearly you cannot read as I posted a link with sources and information on the functions and tissues amputated during circumcision.

    Life, liberty, and the pursuit of happiness to all those who oppose forced genital cutting – regardless of sex.

  115. @anon– the cells of the foreskin are NOT uniquely susceptible to infection! Yarg!! That is propaganda– the data from that study that showed that was skewed. HPV is certainly an epidemic, but the percentage of HPV that turns to cervical cancer is not that large. It’s mostly about hygiene for men as well as women. Sexually active women need to see their ob/gyn’s regularly and get tested, especially if they have multiple partners and there needs to be responsibility. And, sorry as long as condoms are used properly, the risk is cut drastically. So, yes, barring abstinence, the only way to prevent the spread of STD’s is condom use. I know people that are married and have been sexually active with one another for many years. One has herpes, the other does not and there has been no transfer– and a few of them have children (done the old-fashioned way!). I also know a number of women that contracted HPV and it hasn’t gone further than that. I am not trying to downplay the risk, but circumcising infants isn’t the answer! It just isn’t. Making a trivial decision to circumcise an infant at birth does not reduce the risk of that child contracting and/or spreading as STD as an adult! You can continue to use this argument, but anecdotal evidence shows that the main reasons Americans circumcise is cosmetic, social, asthetic and personal preference. The medical reasons are secondary and not researched enough b/c the research proves there is not medical benefit!

  116. Circumcision and Sexually Transmitted Infections

    This index page provides information about the relationship between circumcision and sexually transmitted disease (STD). The materials are indexed in chronological order of publication.

    Note: The consideration of STDs and AIDS prevention does not apply to neonatal circumcision. Children are not sexually active. Kept intact, they can weigh the issue for themselves when they are old enough to consent.

    (See also: Circumcision and HIV )

    Introduction

    History. In the early part of the Twentieth Century, many doctors formed the opinion that circumcision would reduce the chance of a male contracting sexually transmitted disease (STD). This opinion was based on popular considerations of sexual hygiene. There were no scientific studies or documentary evidence to support this opinion. Regardless, countless males were circumcised by military services of the U.S. and other nations during World Wars I and II in an attempt to reduce the chance that they would contract a STD.

    In a self-published pamphlet, Circumcision: A Parent’s Decision for Life, the late circumcisionist Aaron J. Fink made the suggestion that the dried-out, cornified circumcised glans and mucosa would be “tougher,” and somehow therefore less prone to infection, than those of intact men. This claim was even published in The New England Journal of Medicine, but, in fact, there is no evidence to support Fink’s theory.5,10,13

    Behavior. It is documented that circumcised adult males exhibit a greater tendency to engage in risky sexual behavior. Hooykaas and colleagues reported that circumcised men in the Netherlands engage in more risky sexual behavior and have markedly higher rates of STDs.3 Laumann and colleagues reported more risky sexual behavior amongst circumcised men in the United States and have higher rates of STDs.9 Michael et al. reported more variability in sexual behavior, less condom usage, and more STD amonst the predominantly circumcised population of the United States as compared with the predominantly non-circumcised intact males of the United Kingdom.12

    Immunology. Fleiss et al. have described the many natural immunological protective mechanisms provided by the prepuce against infection.10 The prepuce has many immunological protections against disease.10 These mechanisms may explain why surgically-altered, circumcised men seem to have a greater incidence of many different STDs. Dried-out mucous membranes are more prone to infection than naturally moist ones (which is the reason people tend to get more colds in the wintertime!).

    The foreskin naturally moisturizes the glans penis, keeping it in optimum healthy condition to resist infection. The subpreputial moisture also contains lyzosyme, an enzyme that attacks and destroys the cell walls of bacteria.1,10

    Laumann et al. reviewed data from the National Health and Social Life Survey.9 They found no evidence of a prophylactic role for circumcision. In fact, there was a slight tendency in the opposite direction.9 The absence of the foreskin was significantly associated with bacterial STDs among men who have had many sexual partners in their lifetimes. A rate of 25.4/1000 for chlamydia was found in circumcised men compared with a rate of zero in intact men; herpes was 14.9/1000 in circumcised males compared with 8.1/1000 in intact males.9

    Tanne reported on the epidemic of STD, including herpes, human papillomavirus infection, hepatitis B, and HIV infection in the United States.11 The incidence of STD in the United States is amongst the highest in the industrialized world. This should not be surprising, considering the high incidence of circumcision in the US: According to Laumann et al., data from the National Health and Social Life Survey indicate that, in 1992, of 1511 men surveyed who were between 18 and 59 years of age, 77 percent of U.S. born men were circumcised.9 This high percentage is unique among the industrialized nations.8

    Natural protection. While the entire body of medical literature gives no clear indication one way or the other whether circumcision protects against STD, the more recent studies have shown that the natural intact penis may offer some protection against the contraction of various STDs.2-7, 12, 13 According to Storms:

    Recent studies have demonstrated that circumcised men are at increased risk of contracting gonorrhea, syphilis and genital warts. Men are at equal risk for developing human papillomavirus lesions and herpesvirus infections regardless of circumcision status. At least four studies have shown human immunodeficiency virus infection to occur more commonly in circumcised men.8

    Recent studies have demonstrated that circumcised men are more at risk of contracting urethritis,2 gonorrhea,8 syphilis,9 genital warts4,8 and chlamydia.9 Cook discovered that, when genital warts occur in intact males, they tend to occur near the distal (tip) end of the penis4–the region where the foreskin’s protection would be least effective.

    Van Howe’s survey of the medical literature is recommended. Van Howe concludes that:

    The only consistent trend is that uncircumcised males may be more susceptible to GUD, while circumcised men are more prone to urethritis. Currently, in developed nations, urethritis is more common than GUD [genital ulcer disease]. In summary, the medical literature does not support the theory that circumcision prevents STDs.13

    Longitudinal studies. The Dunedin study of a cohort of New Zealand children born in 1972. This cohort, who are now adults, have been studied since birth. The males in the group included both non-circumcised and circumcised male. 201 or 40.3 percent were circumcised. The Dickson et al. found no relationship between circumcision status and HPV infection. in that cohort15 In a second study of that cohort through age 32, Dickson et al. found more STDs in circumcised men although the difference was not statistically significant.17 There were 24.4 STD infections per 1000 person-years among the circumcised group and 23.4 STD infections per 1000 person-years among the non-circumcised group. Non-circumcision, therefore, appeared to confer some slight degree of protection in that cohort of New Zealand men.16

    Cross-sectional studies. Cross-sectional studies have been carried out in the United States,9 the United Kingdom,14 and Australia16 to determine the effects of circumcision upon STDs. All studies have found no significant effect of circumcision on the incidence of STD. Laumann et al. reported that circumcised men are slightly more likely to have both a bacterial and a viral STD in their lifetime.9 The British National Survey of Sexual Attitudes and Lifestyles reported that circumcised males have slightly more STDs but the difference was not judged to be statistically significant.14 Richters et al. found that non-circumcised men are slightly more likely to have penile candidiasis (yeast).17

    Conclusion. The evidence does not support non-therapeutic circumcision to prevent STD infection. On balance, non-circumcision is to be preferred because of the freedom from complications and other adverse effects.

    Library holdings

    1. Prakash S, Raghuram R, Venkatesan, et al. Sub-preputial wetness – Its nature. Ann Nat Med Sci (India) 1982; 18(3):109-112.
    2. Smith GL, Greenup R, Takafuji ET. Circumcision as a risk factor for urethritis in racial groups. Am J Public Health 1987; 77: 452-4.
    3. Hooykaas C, van der Velde FW, van der Linden MM. et al. The importance of ethnicity as a risk factor for STDs and sexual behaviour among heterosexuals. Genitourin Med 1991; 67(5): 378-83.
    4. Cook LS. Koutsky LA. Holmes KK. Clinical presentation of genital warts among circumcised and uncircumcised heterosexual men attending an urban STD clinic. Genitourin Med 1993; 69: 262-4.
    5. Cook LS, Koutsky LA, Holmes KK. Circumcision and sexually transmitted diseases. Am J Public Health 1994; 84: 197-201.
    6. Donovan B, Bassett I, Bodsworth NJ. Male circumcision and common sexually transmissible diseases in a developed nation setting. Genitourin Med 1994; 70: 317-20.
    7. Donovan B, Bassett I, Bodsworth NJ et al. Herpes simplex virus type 2 infection of heterosexual men attending a sexual health centre. Med J Aust 1994,160:69-70.
    8. Storms MR. AAFP Fact Sheet on neonatal circumcision: a need for updating. Am Fam Physician 1996;54(4):1216-17.
    9. Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States: prevalence, prophylactic effects, and sexual practice. JAMA 1997;277:1052-7.
    10. Fleiss PM, Hodges FM, Van Howe RS. Immunological functions of the human prepuce. Sex Transm Inf 1998;74:364-7.
    11. Tanne JH. US has epidemic of sexually transmitted disease. BMJ 1998;317:1616. (Link to http://www.bmj.com)
    12. Michael RT, Wadsworth J, Feinleib J, et al. Private sexual behavior, public opinion, and public health policy related to sexually transmitted diseases: a US-British comparison. Am J Public Health 1998;88(5):749-54.
    13. Van Howe RS. Does circumcision influence sexually transmitted diseases?: A literature review. BJU Int 1999; 83, Suppl 1:52-62.
    14. Dave SS, Johnson AM, Fenton KA, et al. Male circumcision in Britain: findings from a national probability sample survey. Sex Trans Infect 2003;79:499-500.
    15. Dickson N, van Roode T, Paul C. Herpes simplex virus type 2 status at age 26 is not related to early circumcision in a birth cohort. Sex Transm Dis 2005;32(8):517-9.
    16. Richters J, Smith AMA, de Visser RO, et al. Circumcision in Australia: prevalence and effects on sexual health. Int J STD AIDS 2006;17:54754.
    17. Dickson NP, Van Rood T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. J Pediatr 2008;152:383-7. DOI: 10.1016/j.jpeds.2007.07.044

  117. Intactivist, what you call propaganda (and it’s not surprising that you would view it that way, given your screen name) is actually recent science. Science that was persuasive enough for the World Health Organization to create a new policy advocating circumcision to combat the spread of HIV in parts of the world with high rates of heterosexual HIV. And persuasive enough for the AAP to begin the process of reevaluating its stand on circumcision right here in the United States.

  118. Intactivist, regarding the women you know who have contracted HPV “and it hasn’t gone further than that.” The question is, will you know those women in 30 or 40 years? Because this is how it happens. Sometimes their bodies can clear the infection. Sometimes they develop cervical dysplasia – treatment for that is expensive and painful and can make a woman unable to carry a child. Sometimes they develop cancer. Sometimes that can be treated with hysterectomy or other surgery, chemotherapy and/or radiation. Sometimes they die.
    The hope is that the new HPV vaccine, if anyone would actually get it, could cut cancer deaths 30 or 40 years from now, when our middle aged children are now wrestling with health issues caused by the decisions their parents made today. Condoms would help too. As would circumcision.

  119. What’s with the HPV crap? EVERYONE intact or not can get HPV! Condoms prevent contraction of any VD not chopping off part of your penis. They also now have a shot given to girls that makes women immune to the strains of HPV that cause cervical cancer so it is a NON ISSUE the point is moot!

  120. Vicki, condoms do not prevent contraction of “any” venereal disease. They can only partly cut the risk, because they do not prevent skin to skin contact. Circumcision can also cut the risk because the cells of the foreskin are uniquely susceptible to disease.
    http://www.nydailynews.com/lifestyle/health/2011/01/07/2011-01-07_circumcised_men_less_likely_to_give_hpv_to_women_lower_cervical_cancer_risk_stud.html It would be great if more people used condoms and if more people would get the HPV vaccine. Right now, only 1/4 of girls who have entered adolescence since the vaccine was offered have received even one of the three required shots. It is now recommended for boys as well.

  121. right on Jennifer. Keeps boys intact.

  122. @anon– Ok, this comes straight from the AAP website: “The American Academy of Pediatrics (AAP) believes that circumcision has potential medical benefits and advantages, as well as risks. The existing scientific evidence is not sufficient to recommend routine circumcision.” I don’t get from this that they are changing their stance on it. As for WHO, their recommendation for circumcision is for areas of Africa and South Africa, where HIV is very significant in the hetero communities, but not the United States! So, no the science wasn’t strong enough for them to make a world-wide claim. Why do you keep insisting that the cells of the foreskin are “uniquely susceptiple to disease?” They are not! In fact, they are uniquely predisposed to fight diseases and infections! Please read the comment below left by For Real Information Read This b/c there is a lot of useful, researched data there that you need to read. Condoms do prevent the risk of spreading STD’s. They don’t eliminate the risk, but they do prevent it, but circumcision certainly doesn’t prevent it. If a circumcised penis is infected with a disease and no condom is used, the partner is likely to get the disease. Why do you think circumcising would make a difference there? As for the women with HPV that I know, they are in their 50′s and 60′s now so if I still know them in 30 or 40 years, I’d say it that’s pretty damn good! You say that HPV is an epidemic in this country? Well, the majority of men that are spreading HPV are circumcised so how do you figure that?!

  123. I circumcised my first son but not my second. I just do whatever the most recent popular literature tells me to do because I have no ability to think for myself. Somebody help me!

    Coura, thefeministbragger.com

  124. Intactivist, here you go, from the New York Times last August:

    “Both the C.D.C. and the American Academy of Pediatrics have been reviewing the scientific evidence on circumcision with an eye to issuing new policy recommendations, but so far neither body has done so, although the federal agency was to have issued its new recommendations by the end of last year.

    Officials from the pediatrics academy said its new policy would be issued by early 2011; a task force that studied the topic has completed its report, which is being reviewed by several other committees, said Dr. Michael Brady, chairman of pediatrics at Nationwide Childrens Hospital in Columbus, Ohio, who served on the task force. The academy is likely to adopt a more encouraging stance than its current neutral position and to state that the procedure has health benefits beyond H.I.V. prevention, Dr. Brady said.

    The World Health Organization in 2007 endorsed male circumcision as an important intervention to reduce the risk of heterosexually acquired H.I.V.

    http://www.nytimes.com/2010/08/17/health/research/17circ.html?_r=1&scp=2&sq=infant%20circumcision&st=cse

  125. @anon– There you go! I went straight to the sources you referenced. There is no recommendation made and so therefore at this point, they aren’t making that claim. Because there isn’t enough data to back such claims at this point. “the academy is likely to adopt….” yet they haven’t. And as I stated below, the WHO endorsed it for African and South African nations, not globally!

  126. Intactivist, it is true that the article states precisely what I told you before. Here’s the quote from me about the new science regarding circumcision: “Science that was persuasive enough for the World Health Organization to create a new policy advocating circumcision to combat the spread of HIV in parts of the world with high rates of heterosexual HIV. And persuasive enough for the AAP to begin the process of reevaluating its stand on circumcision right here in the United States.”
    That is exactly what the WHO did, and exactly what the AAP is doing.

  127. Great article! We need more doctors speaking out against medically necessary genital cutting.

  128. Err, that was supposed to read: “Great article! We need more doctors speaking out against medically UNNECESSARY genital cutting.”

  129. We had our first son circumcised at 6 months old because he was born with penile-scrotal fusion and they used his foreskin as a skin graft during the repair. It was an absolutely necessary procedure if we ever wanted our son to be able to enjoy his sexuality.

    Honestly, I was relieved that the decision was made by necessity and that he needed it done under general anesthesia. He even got pain medication to go home with ( which he needed) I had read all of the pros and cons of circumcision before we even knew we were having a son (I’m a pediatric nurse and have seen the suffering that uncircumcised preteen boys go through after a medically necessary circ. )
    I decided to leave the decision whether to circ. our second son to my husband, since he has a penis, happens to be a physician and also knows both the risks and benefits. It’s important to him that we have the procedure done. Mainly because they suffer less the earlier the procedure is done and the risk of him possibly spreading HPV(which can ALSO be caught from a toilet seat or sharing a bath towel)/cervical cancer to a future daughter-in-law. Judge if you want (and I know you will since I’ve never met an intactivist who ever missed an opportunity to judge or be condescending).

  130. Bodily integrity is everyone’s human right. Circumcision is unnecessary, painful, has no benefits, and should be considered ONLY if medically necessary. Doctors need to stop misinforming people about the benefits of this procedure. There are NONE, unless medically indicated to correct a problem that is already evident. Please let your children decide for themselves as consenting adults if they want their genitals carved up or not.

  131. In San Francisco there is a measure on the November ballot that it would make it illegal to circumcise, excise, cut or mutilate the foreskin, testicle or penis of another person who has not attained the age of 18.http://www.redtri.com/san-francisco/hot-topic-to-snip-or-not-to-snip

  132. Devin, You know how I know you’re unreachable?

    How do you go from allowing a child to keep his normal and healthy body parts to OMG THE CHILDREN WILL REVOLT AND DEMAND TO DECIDE EVERYTHING FOR THEMSELVES.
    Quite the slippery slope there.

  133. SLMama, there’s no sugar coating it.

    In reality, if you alter your child’s body just so he doesn’t get picked on you’re sending him the message that there’s something wrong with him, and that one should bow down to bullies. Needless to say that’s terrible.

    Your husband was the one with the issue, In reality he was so threatened that you’d question Circumcision that he’d rather inflict the same mutilation on his son than confront his own personal feelings.
    I grew up intact, in Pennsylvania, one of the most mutilation happy states there is. And i never ONCE got picked on due to the fact that i had a foreskin. I got picked on for having glasses, being short, looking like an easy target, everything else you could imagine.

    Using your psychologically damaged husband to validate mutilating a child is wrong, while the motives are understandable, It’s clear your husband was trying to validate his amputation. He didn’t want his wife to think that he was missing anything, and he didn’t want to grasp that circumcision damages the penis.

  134. SLMama, there’s no sugar coating the fact that you had your child permanently and physically harmed.

    In reality, if you alter your child’s body just so he doesn’t get picked on you’re sending him the message that there’s something wrong with him, and that one should bow down to bullies. Needless to say that’s terrible.

    Your husband was the one with the issue, In reality he was so threatened that you’d question Circumcision that he’d rather inflict the same mutilation on his son than confront his own personal feelings.
    I grew up intact, in Pennsylvania, one of the most mutilation happy states there is. And i never ONCE got picked on due to the fact that i had a foreskin. I got picked on for having glasses, being short, looking like an easy target, everything else you could imagine.

    Using your psychologically damaged husband to validate mutilating a child is wrong, while the motives are understandable, It’s clear your husband was trying to validate his amputation. He didn’t want his wife to think that he was missing anything, and he didn’t want to grasp that circumcision damages the penis.

  135. KatyE: Nobody here would judge you for having had your son circumcised. It was medically necessary. End of discussion.

    However, let’s draw a parallel. Let’s say your first son had a terrible case of tonsillitis at age 6 and had to have his tonsils removed. Fair enough. It was necessary, right? He had a tough recovery and definitely wasn’t comfortable, but he managed. So you have another baby, and as soon as the baby is born, you request to have his tonsils removed. Why? Because IF they get infected later on and IF they have to be removed, it’ll be awfully hard on him, so why not get it done as a baby, right? This is the logic that you’re using. And you know what? If I had a newborn and wanted his tonsils removed when he was only a day old, even though there wasn’t a blessed thing wrong with them, yeah…people would judge. They wouldn’t consider this a private decision — they’d think I was some kind of weird Munchausen-by-proxy mother who is putting her kid through unnecessary medical procedures.

    So how is routine infant circumcision any different? If we would judge a parent for having their newborn’s tonsils or toenails removed, just on the off-chance that they might become infected some day, then why is it so verboten to judge a parent for having part of their newborn’s penis removed?

  136. I doubt that it was necessary to use the foreskin, they just resorted to that because American docs are foreskin haters. In this case it was the disgusting doctors who have most of the blame.

  137. Determined Scientists Seek To Regrow Foreskin In Lab

    A charity called Foregen is collecting donations for a clinical trial of foreskin regeneration. Foregens mission is to reverse the damage done by circumcision for men who are suffering from surgical and psychological complications.

    This foreskin regeneration trial was proposed by a leading regenerative medicine program at the Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland. Scientists at the CHUV have used cutting-edge stem cell technology to grow biological bandages which have already been successfully implemented to regenerate the skin of burn victims.

    Many may ask why anyone would want to regenerate their foreskin. First and foremost, the goal of foreskin regeneration is to restore physical integrity and the fundamental right to ones own body, a right that was repeatedly violated with the implementation of mass industrialized, non-consenting, non-therapeutic male infant circumcision in the Unites States. A wide range of surgical complications occur in 2-10% of the cases.(1) Since there are approximately 120 million circumcised men in the United States today, it stands to reason that there are millions of men who suffer daily from the effects of these botched circumcisions. These are the men who can benefit most form the work at Foregen.

    Many Americans are surprised to hear that circumcision (the surgical removal of the foreskin) is uncommon in the western world. Foreigners are often shocked when they first hear that the practice of circumcision even exists in the United States. Circumcision was first introduced in the United States by an anti-sexual Victorian initiative which began during the 1830s. Numerous publications from the 1830s to times even as late as the 1970s had advocated for circumcision as a means to prevent masturbation, and permanently desensitize the penis.(2,3,4,5,6,7,8,9,10,11,12)

    Circumcision advocates quickly moved on to manufacture a number of outrageous health claims. These claims were tailored to the fears and anxieties of the day. Circumcision has been claimed to cure epilepsy, convulsions,? paralysis, elephantiasis, tuberculosis, eczema, bed-wetting, hip-joint disease, fecal incontinence, rectal prolapse, wet dreams, hernia, headaches, nervousness, hysteria, poor eyesight, idiocy, mental retardation, insanity, strabismus, hydrocephalus, clubfoot, cancer, STDs, UTIs, ect.(13) Doctors were eager to claim that they could cure many of these aliments,conditions and diseases because there were no treatments available then. Even though all of these claims have been throughly discredited, circumcision has remained a solution in search of a problem ever since. Many Americans are surprised to find out that female genital cutting (FGC) shares a strikingly similar history in the United States.(5,14,15,16,17,18,19) FGC was even covered by Blue Cross Blue Shield until 1977. Nowadays, many forms of FGC are now considered forms of female genital mutilation (FGM), which are banned in all western countries.

    Perhaps the most shocking fact is that circumcision continues to be practiced in the United States even though no official western medical organization in the world recommends it. The Royal Dutch Medical Society, The British Medical Association, the Canadian Pediatric Society, and the Royal Australian College of Physicians have all made official policy statements against circumcision. The American Academy of Pediatrics, the American Medical Association, the American Academy of Family Physicians, and the American Urological Association all do not recommend circumcision, and are also in agreement that there are no proven benefits.

    For some reason this information is not making it to parents. Studies have shown that doctors provide parents with almost no accurate or useful information about circumcision. One study showed that 40% of parents believed that their doctors failed to provide enough information, 46% reported that their doctors failed to give them any medical information at all, and 82.8% of parents regretted their decision they made within the first six months of their sons life.(20) Another study found that physicians were less likely to circumcise their own sons.(21) This suggests that doctors are very well aware that circumcision is a non-therapeutic surgery (in short, a ritual); but they do not appear to share this knowledge with parents. A busy physician can supplement their income by as much as $60,000 per year from circumcision surgeries alone.(22) This incentive can cloud a physicians judgment when it comes to providing parents with information about circumcision.

    Many parents are surprised to hear that anesthetics are used in only a minority of cases.(23) The use of local anesthetics significantly drives up the costs of surgery. When anesthetics are used, they can only reduce the pain. Infants can not be given general anesthesia because of the medical risks involved. In the recent past, anesthesia was rarely used, if ever. Because of this, circumcision has always been an extremely traumatizing experience causing an array of short and long term behavioral problems, including altered perceptions, and post traumatic stress disorder (PTSD)(24,25,26,27,28,29,30,31,32,33,34,35), and a possibly self destructive behavior(36,37). Many circumcised men, some of whom are doctors, experience a strong denial of loss which in turn fuels an emotional compulsion to repeat the trauma to normalize their loss.(38,39,40,41,42)

    What is the foreskin? is a question that many Americans would have trouble answering. Information about the foreskin is virtually absent during discussions of anatomy in biology classrooms, and yet, the foreskin provides a well-documeted set of crucial sensory, protective, immunological, hygienic, and sexual functions. The foreskin is a double fold of skin that is twice as big as its appearance. It can make up to 80% or more of the penile skin covering, and includes around 12-20 square inches of skin (the size of a 3×4 or a 4×5 index card!), and in turn includes a specialized sheet of dartos muscle(43,45). One of the functions of this mobile skin system is to glide up and down the shaft of the penis in order to facilitate non-abrasive stimulation during sexual activity without any need for artificial lubricant. This frictionless gliding mechanism is the principal source of stimulation for the intact penis and facilitates non-abrasive intercourse.

    The neuro-anatomy of the penis has been rigorously studied by respected anatomists of all kinds. The component tissues that comprise the foreskin are richly innervated with the greatest quantity and variety of sensory nerve endings than any other part of the penis.(44,45,46,47,48,49,50,51,52) Many people are surprised to discover that the glans or head of the penis is actually the least sensitive part.(45,51,52)

    To no surprise, this information was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    The foreskin, like the eyelid, also serves an important set of protective and immunological functions. The foreskin protects the delicate glans of the penis and puts the urethra at a distance form its environment protecting it from foreign contaminants of all kinds. While simultaneously shielding the penis from injury. The foreskins inner fold and the glans of the penis are comprised of mucous membrane tissue. These are also present in your eyes, mouth, and all other bodily orifices including the female genitals. These mucous membranes perform many immunological and hygienic functions. Certain components such as Langerhans cells(53), plasma cells(54), apocrine glands(55), and sebaceous glands(56), collectively secrete emolliating lubricants(57) rich in enzymes such as lysosomal enzymes, cathepsin B, chymotrypsin, neutrophil elastase, immunoglobulin, and cytokine(58,59) whose function is to sequester and digest foreign pathogens. The foreskin is also responsible for the production, retention, and dispersal of pheromones such as androsterone(60). In time we will discover even more information about the foreskin and its functional components.

    The intact penis is naturally clean and maintains a level of hygiene that is optimal when compared to a penis that has been altered by circumcision. In fact, a myriad of rigorously controlled studies performed by objective researchers among racially and socioeconomically homogeneous study groups in developed urban settings have shown that circumcision is often associated with an increased risk of bacterial infections, viral infections, and major STDs (61,62,63,64,65,66,67,68,69,70,71,72).

    Needless to say, circumcised men have been denied normal bodily funtions associated with anatomicaly correct gentalia. Foregen is working tirelessly to restore physical integrity and emotional wellbeing to circumcised men who desire genital intactness. Visit Foregen.org and dontate to support the cause.

    Refrences:
    (1)Williams, N; L. Kapila (October 1993). “Complications of circumcision”. British Journal of Surgery 80 (10): 1231-1236.
    (2) Lallemand C-F. Des Pertes Seminales Involontaires, 3 vols. Pasis: Becht Jeune 1836, 1839,? 1842. Vol1.,pp.463-1: vol2., 70-162; vol. 3,.pp266-7,280-9
    (3) Dixon EH. A Treatise on Diseases of the Sexual organs. New York: Burgess, Stringer & Co. 1845. pp.158-65
    (4) Moses MJ. The Value of circumcision as a hygienic and therapeutic measure.? New York medical journal 1871 Nov;14(4):368-74
    (5)Kellogg, J.H.? (1888). “Treatment for Self-Abuse and Its Effects”. Plain Facts for Old and Young. Burlington, Iowa: F. Segner & Co. Plain Facts for Old and Young (1881 edition) at Project Gutenberg
    (6) Hutchinson J. On Circumcision as preventive of masturbation. Archives of surgery 1891 Jan;2(7);267-9
    (7) Remondino PC. Negro rapes and their social problems. National popular review 1894? Jan;4(1) 3-6
    (8) Cockshut RW. Circumcision. British Medical Journal 1935 Oct 19;2(3902):764
    (9) Guttmacher AF. Should? the baby be circumcised? Parents Magazine 1941 sept; 16(9):26,76-8
    (10) Miller RL. Snyder DC. Immediate circumcision of the new born male. Am J Obstet Gynecol 1953, Jan;6 (1):1-11
    (11) Fishbein M. Sex hygiene. In: Fishbein M(ed). Modern Home Medical Adviser. Garden City, New York Doubleday& Company:1969. pp. 90. 119.
    (12) M. F. Campbell, “The Male Genital Tract and the Female Urethra,” in Urology, eds. M. F. Campbell and J. H. Harrison, vol. 2, 3rd ed. Philadelphia: W. B. Saunders, 1970),1836.
    (13) F. A. Hodges, “Short ?History of the Institutionalization of Involuntary Sexual Mutilation in the United States,” in G. C. Denniston and M. F. Milos, eds., Sexual Mutilations: A Human Tragedy (New York: Plenum Press, 1997), 35.
    (14) Robert Tuttle Morris, M.D. Is evolution trying to do away with the clitoris? American Association of OB/GYNs Vol.5, 1892, pp.288-302
    (15) T. Scott McFarland, M.D. Circumcision of Girls. Journal of Orificial Surgery. Vol.7,July 1898,pp.31-33
    (16) Benjamin E. Dawson, A.M., M.D. Circumcision in the Female: Its Necessity and How to Perform it. American Journal of Clinical Medicine. Vol.22, No. 6, June 1915, pp.520-525
    (17) Belle C. Eskridge M.D. Why not circumcise the girl as well as the boy? Texas State Journal of Medicine Vol. 14, May 1918
    (18) Mc Donald, C.F., M.D. Circumcision of the female. General Practitioner Vol. 18 No3, Sept 1958, pp.98-99
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    (20) Adler R, Ottaway S, Gould S. Circumcision: we have heard from the experts; now lets hear from the parents. Pediatrics 2001 Feb;107(2):E20
    (21) Topp, S. (1978, January). Why not to circumcise your baby boy. Mothering, 6, 69-77.
    (22) Fleiss, Paul M.D. What your Doctor May Not Tell You About Circumcision. Warner books. New York. Sept 2002.
    (23)Stang , M.J., & Snellman, L.W. (1998). Circumcision practice patterns in the United States. Pediatrics, 101(6)
    (24)Gunnar MR, Fisch RO, Korsvik S, Donhowe JM. The effects of circumcision on serum cortisol and behavior. Psychoneuroendocrinology 1981; 6(3):269-75.
    (25) Porter FL, Miller RH, and Marshal RE. Neonatal pain cries: effect of circumcision on acoustic features and perceived urgency. Child Dev 1986;57:790-802.
    (26) Gunnar MR, Connors J, Isensee, Wall L. Adrenocortical activity and behavioral distress in human newborns. Dev Psychobiol 1988;21(4):297-310.
    (27) Anders TF, Chalemian RJ. The effects of circumcision on sleep-wake states in human neonates. Psychosom Med 1974;36(2):174-9.
    (28) Marshall RE, Stratton WC, Moore JA, et al. Circumcision I: effects upon newborn behavior. Infant Behavior and Development 1980;3:1-14.
    (29) Marshall RE, Porter FL, Rogers AG, et al. Circumcision: II effects upon mother-infant interaction. Early Hum Dev 1982; 7(4):367-74.
    (30) Lee N. Circumcision and breastfeeding. J Hum Lact 2000;16(4):295.
    (31) Anand KJS, Hickey PR. Pain and its effects in the human neonate and fetus. New Engl J Med 1987;317(21):1321-9.
    (32) Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol 2002;7(3):329-43.
    (33) Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 1997;349(9052):599-603.
    (34)LaPrairie Jamie L. Murphy Anne Z. Neonatal Injury Alters Adult Pain Sensitivity by Increasing Opioid Tone in the Periaqueductal Gray. Front Behav Neurosci 30 September 2009.
    (35) Rhinehart J. Neonatal circumcision reconsidered. Transactional Analysis J 1999;29(3):215-21.
    (36) Van der Kolk BA, Perry JC, Herman JL. Childhood origins of self-destructive behavior. Am J Psychiatry 1991; 148;1665-71.
    (37) Jacobson B, Bygdeman M. Obstetric care and proneness of offspring to suicide. BMJ 1998; 317:1346-49.
    (38) Van der Kolk BA. The compulsion to repeat the trauma: re-enactment, revictimization, and masochism. Psychiatr Clin North Am 1989;12(2):389-411.
    (39) Goldman R. The psychological impact of circumcision. BJU Int 1999;83 Suppl. 1:93-103.
    (40) Maguire P, Parks CM. Coping with loss: surgery and loss of body parts. BMJ 1998;316(7137):1086-8.
    (41)Hill G. The case against circumcision. J Mens Health Gend 2007;4(3):318-23
    (42)Goldman R. Circumcision policy: a psychosocial perspective. Paediatr Child Health 2004;9(9):630-3.
    (43) See photographic series in: lander MM. The Human prepuce. In: Denniston GC, Milos MF (eds). Sexual Mutilations: a human Tragedy. New York: Plenum Press; 1997. pp.79-81
    (44) Moldwin RM, Valderrama E. Immunohistochemical analysis of nerve fistribution patterns within preputial tissues. J Urol 1989 Apr;141(4):499A. (abstract)
    (45) Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized musocsa of the penis and its loss to circumcision. Br J Urol 1996 Feb;77(2): 291-5
    (46) Dogiel AS. Die Nervenendigungen in der Haut der ausseren Genitalorgane des Menschen. Archiv fur Mikroskopische Anatomie 1893:41:585-612
    (47)Bazett HC, McGlone B, Williams RG, Lufkin HM. Depth, distribution and probable identification in the prepuce of sensory end-organs concerned in sensations of temperature and touch; thermometric conductivity. Archives of Neurology and psychiatry 1932 Mar; 27(3):489-517
    (48) Ohmori D. Uber die Entwicklung der Innervation der Genitalapparate als peripheren Aufnahmeapperat der Genitalen Reflexe. Zeitschrift fur Anatomie und Entwicklungsgeschichte 1924;70(1):347-410.
    (49)Halata Z, Munger BL. The neuroanatomical basis for the protopathic sensibility of the human glans penis. Brain Res 1986 Apr23;371(2):205-30.
    (50)Winkelmann RK. The Cutaneous Innervation of the human newborn prepuce. Invest Dermatol 1956 Jan;26(1):53-67
    (51)Winkelmann RK. The erogenous zones: their nerve supply and its significance. Proceedings of the staff meetings of the Mayo Clinic 1959 Jan21(2):39-47
    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869
    (53) Weiss GN, Sanders M, Westbrook KC. The distribution and density of Langerhans cells in the human prepuce: site of diminished immune response? Isr J Med Sci 1993 Jan;29(1);42-3
    (54) Flower PJ, Ladds PW, Thomas AD, Watson DL. An immunopathologic study on the bovine prepuce. Vet Pathol 1983 Mar;20(2):189-201.
    (55)Ahmed A, Jones AW. Apocrine Cystadenoma: a report of two cases occurring on the prepuce. Br J Dermatol 1969 Dec; 81(12):899-901.
    (56)Hyman AB, Brownstien MH. Tyson’s “glands”: ectopic sebaceous glands and papillomatosis penis. Arch Dermatol 1969 Jan;99(1):31-6
    (57)Parkash S, Jeykumar S, Subramanyan K, Chaudhuri S. Human Subpreputial collection: its nature and formation. J Urol 1973 Aug 110(2):211-2
    (58) Ahmed AA, Nordlind K, Schultzberd M, Liden S. Immunohisto chemical localization of IL-1 alpha-, IL-1 beta-, IL-6- and TNF-alpha-like immunoreactivities in human apocrine glands Arch
    (59) Frohlich E Shamburg-Lever G, Klesses C. Immunelectron microscopic localization of cathepsin B in human apocrine glands. J Cutan Pathol 1993 Feb;20(1):54-60
    (60) Cohn BA. In search of human skin pheromones. Arch Dermatol 1994 Aug; 130(8):1048-51
    (61)Dermatol Res 1995;287(8):764-6Smith GL, Greenup R, Takafuji ET. Circumcision as a risk factor for urethritis in racial groups. AM J Public Health 1987 Apr;77(4):452-4
    (62) Bassett I, Donovan B, Bodsworth NJ. Male circumcision and common sexually transmissible diseases in a developed nation setting. Genitourin Med 1994 Oct;70(5):317 -20.
    (63) Bassett I, Donovan B, Bodsworth NJ, Field PR, Ho DW, jeansson S, Cunningham AL. Herpes Simplex virus type 2 infection of heterosexual men attending a sexual health sentre. Med J Aust 1994 Jun 6:160(11);697-700
    (64) Van Howe R. Does Circumcision Influence Sexually Transmitted diseases?: a literature review. BJU Int 1999 Jan;83 Suppl 1:52-62.
    (65) Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States: prevalence, prophylactic effects, and sexual Practice. JAMA 1997 Apr2;277(13):1052-7
    (66) Dickson NP, Van Rood T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. J Pediatr 2008;152:383-7.
    (67) Cook LS, Koutsky LA. Holmes KK. Clinical presentation of genital warts among circumcised and uncircumcised heterosexual men attending an urban STD clinic. Genitourin Med 1993 Aug;69(4):262-4
    (68) Van Howe, Robert S. (May 2007). “Human papillomavirus and circumcision: A meta-analysis”. Journal of Infection 54 (5): 490496.
    (69) Dinh, T.H.; M. Sternberg, E.F. Dunne and L.E. Markowitz (April 2008). “Genital Warts Among 18- to 59-Year-Olds in the United States, National Health and Nutrition Examination Survey, 19992004″. Sexually Transmitted Diseases 35 (4): 357360.
    (70) Van Howe, R.S. (January 1999). “Circucmsion and HIV infection: review of the litarature and meta-analysys”. International Journal of STD’s and AIDS 10: 816.
    (71)Amir J. et al. Circumcision and Urinary Tract Infections in Infants. Am J Dis Child (1986), vol. 140, p. 1092.
    (72)Prais D. Shoov-Furman R, Amir J. Is circumcision a risk factor for neonatal urinary tract infections? Arch Dis Child Published Online First: 6 October 2008.

  138. I do hope that all parents here, of girls and boys, will consider getting their child the HPV vaccine at puberty. It has been about $120 per shot for three shots (plus the cost of doctor visits) over the course of six months. It’s estimated to be 90 percent effective in girls that have actually received the full course prior to exposure, and – according to this article – 66 percent effective in young men who receive the full course prior to exposure. Essentially, that means you have to get it done before they become sexually active.
    http://www.sciencedaily.com/releases/2011/02/110204142257.htm
    If you are 100 percent sure that your child will be sexually abstinent in his or her life, or that he or she will engage in zero sexual contact until they are partnered for life with someone just as pure, then this does not apply. Penetration and bodily fluids are not required to transmit HPV; skin to skin contact is enough.
    The HPV vaccine should also help prevent most anal cancer, which is what Farah Fawcett died from.
    HPV vaccination rates remain tiny. Here is hoping they rise. So far, there is much resistance both from parents who consider vaccines risky and unnatural and from parts of the religious community who believe it condones impurity.
    Condoms do not eliminate the risk of HPV, although they can cut the risk. Circumcision does not eliminate the risk of HPV, although it can cut the risk. Vaccines do not eliminate the risk of HPV, although they can cut the risk.

  139. HPV

    Genital warts, also known as human papilloma virus (HPV), is the most common STD in the U.S. Its association with circumcision, has been a heavily debated topic for many years. As more recent studies enact more rigorous controls and use larger study groups, the association between circumcision and HPV has become more clear.

    A classic 1993 study on HPV, came up with the conclusion that:

    “Uncircumcised men had a lower prevalence of genital warts then circumcised men… The presence of the foreskin may confer non specific protection of the proximal penis from acquisition of HPV infection.”(9)

    A meta-analysis Performed by D.r. Robert Van Howe in 2006 found no significant association between circumcision status and HPV infection.

    “The medical literature does not support the claim that circumcision reduces the risk for genital HPV infection” (10)

    Most studies on HPV performed before 2006 had poor controls and relatively small study groups. In order to clear up this confusion, a recent 2008 study on HPV had an enormous study group of almost nine thousand men in the United States. This is currently the largest study on circumcision and HPV ever performed in the U.S. And since the study was performed in the U.S., the results are directly applicable to people who live in the U.S. They concluded:

    “The percentage of circumcised men reporting a diagnosis of genital warts was significantly higher than uncircumcised men, 4.5% (95% CI, 3.6%5.6%) versus 2.4% (95% CI, 1.5%4.0%)”.(11)

    Circumcised men where about twice as likely to have HPV! The claim that circumcision prevents cervical cancer in women is a detestable myth with sexist implications. This is based on the presumption that circumcision prevents HPV and that HPV increases the risk for both cervical cancer and penile cancer. Since this HPV claim has been thoroughly discredited, the cervical cancer myth is also now debunked. It has now been shown that circumcision increases the risk for HPV. Hence circumcision may increase the risk of both penile and cervical cancer by increasing the spread and acquisition of HPV. The practice of circumcision could very well be a contributing factor to the prevalence of HPV in the U.S.

    Nevertheless pro circumcision advocates have continued to mine for data in inapplicable communities like rural Uganda with the intent to prove that circumcision does reduce the risk for HPV. Yet, when these studies are performed they get an incredible amount of press. Why did the previous study I present not gain any publicity?

    In the studies I have provided thus far, they have have used racially and socioeconomic homogeneous study groups in developed urban western settings. This is something that most if not all of these pro-circumcision studies do not account for.
    (9) Cook LS, Koutsky LA. Holmes KK. Clinical presentation of genital warts among circumcised and uncircumcised heterosexual men attending an urban STD clinic. Genitourin Med 1993 Aug;69(4): 262-4
    http://www.ncbi.nlm.nih.gov/pmc/arti…00028-0016.pdf
    (10)Van Howe, Robert S. (May 2007). “Human papillomavirus and circumcision: A meta-analysis”. Journal of Infection 54 (5): 490496. doi:10.1016/j.jinf.2006.08.005. PMID 16997378. http://www.cirp.org/library/disease/cancer/vanhowe2006b/. Retrieved 2008-09-18.
    (11)Dinh, T.H.; M. Sternberg, E.F. Dunne and L.E. Markowitz (April 2008). “Genital Warts Among 18- to 59-Year-Olds in the United States, National Health and Nutrition Examination Survey, 19992004″. Sexually Transmitted Diseases 35 (4): 357360. doi:10.1097/OLQ.0b013e3181632d61. PMID 18360316.

  140. I don’t normally comment on debates, but I’m going to now because this is an issue I feel strongly about.

    My husband is 34 years old and was circumcised as an infant. He has NO feeling in the head of his penis. None. Oh sure, he can feel pressure, but sensation? Nada. Makes giving him blow jobs a little difficult. I mean, I can but it’s less for him and more for me because I do enjoy giving. He wishes his parents had just left his penis alone, because the thought that the sex we’re having could be even better blows his mind. Sure, some men don’t have those issues. But we cannot ignore the voices of those who have been negatively affected by the genital cutting that was done in their infanthood.

    http://www.sexasnatureintendedit.com/ is an excellent source for American women to see how things could be different if your man was intact.

    http://www.circumstitions.com/Restric/Botched1sb.html shows some of the most common as well as the most severe complications that stem from circumcision.

    Considering that men in the rest of the world aren’t complaining about their penises rotting off, and considering boys/men who have been circed still wind up with penile cancer, HPV, UTIs, HIV, etc, the STD argument holds no water.

    Many of the African studies that show the benefits of circumcision have been discredited or retracted. I would provide links that proves this, but I only have another half hour before the baby wakes up from her nap and I’d like to finish my lunch in peace. Go search it yourself. Same with the STD prevention–I’ve seen a few articles that discredit those findings as well.

    The truth is, if circumcision was the be-all end-all of penile health, then 80% of the WORLD (that would the entire planet, because the United States isn’t the only country around here) wouldn’t be opting out of it.

  141. Craig, there are many, many strains of HPV, a few of which cause genital warts. The ones that cause genital warts are NOT the same as the high risk strains that lead cells to become cancerous – in both men and women. You are confusing two issues. http://www.nydailynews.com/lifestyle/health/2011/01/07/2011-01-07_circumcised_men_less_likely_to_give_hpv_to_women_lower_cervical_cancer_risk_stud.html

  142. Redkitten, it’s not your place to judge me. I understand you feel like no one should circumcise their sons and I totally respect that. I don’t judge you for leaving your sons intact. I wouldn’t judge you if you chose to pierce your daughter’s ears as an infant or leave them alone. I wouldn’t judge you if you chose to feed your baby formula or only feed him or her baby food from a jar. I would judge you if you parented irresponsibly. Not everyone who choses to circ does so passively or without research and thought. It’s not your place to judge. We’re all doing what we feel in our hearts is right for our children. No thoughtful, loving, mindful parent deserves your judgement for doing what they feel is right, even if you happen to disagree.

  143. Anon, i am well aware of that. There are currently 132 documented HPV stands. They do know which ones if any cause cancer. HPV has been associated with cervical cancer, its cause is NOT proven, much less proven for any specific strains. Your hyperbolic article refers to inapplicable study’s in RURAL AFRICA. I should not even have to explain why studys from Africa are invalid to us. Try reading actual publications and not hyperbolic news articles.

  144. Anon Try reading this article i am working on

    Determined Scientists Seek To Regrow Foreskin In Lab

    A charity called Foregen is collecting donations for a clinical trial of foreskin regeneration. Foregens mission is to reverse the damage done by circumcision for men who are suffering from surgical and psychological complications.

    This foreskin regeneration trial was proposed by a leading regenerative medicine program at the Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland. Scientists at the CHUV have used cutting-edge stem cell technology to grow biological bandages which have already been successfully implemented to regenerate the skin of burn victims.

    Many may ask why anyone would want to regenerate their foreskin. First and foremost, the goal of foreskin regeneration is to restore physical integrity and the fundamental right to ones own body, a right that was repeatedly violated with the implementation of mass industrialized, non-consenting, non-therapeutic male infant circumcision in the Unites States. A wide range of surgical complications occur in 2-10% of the cases.(1) Since there are approximately 120 million circumcised men in the United States today, it stands to reason that there are millions of men who suffer daily from the effects of these botched circumcisions. These are the men who can benefit most form the work at Foregen.

    Many Americans are surprised to hear that circumcision (the surgical removal of the foreskin) is uncommon in the western world. Foreigners are often shocked when they first hear that the practice of circumcision even exists in the United States. Circumcision was first introduced in the United States by an anti-sexual Victorian initiative which began during the 1830s. Numerous publications from the 1830s to times even as late as the 1970s had advocated for circumcision as a means to prevent masturbation, and permanently desensitize the penis.(2,3,4,5,6,7,8,9,10,11,12)

    Circumcision advocates quickly moved on to manufacture a number of outrageous health claims. These claims were tailored to the fears and anxieties of the day. Circumcision has been claimed to cure epilepsy, convulsions,? paralysis, elephantiasis, tuberculosis, eczema, bed-wetting, hip-joint disease, fecal incontinence, rectal prolapse, wet dreams, hernia, headaches, nervousness, hysteria, poor eyesight, idiocy, mental retardation, insanity, strabismus, hydrocephalus, clubfoot, cancer, STDs, UTIs, ect.(13) Doctors were eager to claim that they could cure many of these aliments,conditions and diseases because there were no treatments available then. Even though all of these claims have been throughly discredited, circumcision has remained a solution in search of a problem ever since. Many Americans are surprised to find out that female genital cutting (FGC) shares a strikingly similar history in the United States.(5,14,15,16,17,18,19) FGC was even covered by Blue Cross Blue Shield until 1977. Nowadays, many forms of FGC are now considered forms of female genital mutilation (FGM), which are banned in all western countries.

    Perhaps the most shocking fact is that circumcision continues to be practiced in the United States even though no official western medical organization in the world recommends it. The Royal Dutch Medical Society, The British Medical Association, the Canadian Pediatric Society, and the Royal Australian College of Physicians have all made official policy statements against circumcision. The American Academy of Pediatrics, the American Medical Association, the American Academy of Family Physicians, and the American Urological Association all do not recommend circumcision, and are also in agreement that there are no proven benefits.

    For some reason this information is not making it to parents. Studies have shown that doctors provide parents with almost no accurate or useful information about circumcision. One study showed that 40% of parents believed that their doctors failed to provide enough information, 46% reported that their doctors failed to give them any medical information at all, and 82.8% of parents regretted their decision they made within the first six months of their sons life.(20) Another study found that physicians were less likely to circumcise their own sons.(21) This suggests that doctors are very well aware that circumcision is a non-therapeutic surgery (in short, a ritual); but they do not appear to share this knowledge with parents. A busy physician can supplement their income by as much as $60,000 per year from circumcision surgeries alone.(22) This incentive can cloud a physicians judgment when it comes to providing parents with information about circumcision.

    Many parents are surprised to hear that anesthetics are used in only a minority of cases.(23) The use of local anesthetics significantly drives up the costs of surgery. When anesthetics are used, they can only reduce the pain. Infants can not be given general anesthesia because of the medical risks involved. In the recent past, anesthesia was rarely used, if ever. Because of this, circumcision has always been an extremely traumatizing experience causing an array of short and long term behavioral problems, including altered perceptions, and post traumatic stress disorder (PTSD)(24,25,26,27,28,29,30,31,32,33,34,35), and a possibly self destructive behavior(36,37). Many circumcised men, some of whom are doctors, experience a strong denial of loss which in turn fuels an emotional compulsion to repeat the trauma to normalize their loss.(38,39,40,41,42)

    What is the foreskin? is a question that many Americans would have trouble answering. Information about the foreskin is virtually absent during discussions of anatomy in biology classrooms, and yet, the foreskin provides a well-documeted set of crucial sensory, protective, immunological, hygienic, and sexual functions. The foreskin is a double fold of skin that is twice as big as its appearance. It can make up to 80% or more of the penile skin covering, and includes around 12-20 square inches of skin (the size of a 3×4 or a 4×5 index card!), and in turn includes a specialized sheet of dartos muscle(43,45). One of the functions of this mobile skin system is to glide up and down the shaft of the penis in order to facilitate non-abrasive stimulation during sexual activity without any need for artificial lubricant. This frictionless gliding mechanism is the principal source of stimulation for the intact penis and facilitates non-abrasive intercourse.

    The neuro-anatomy of the penis has been rigorously studied by respected anatomists of all kinds. The component tissues that comprise the foreskin are richly innervated with the greatest quantity and variety of sensory nerve endings than any other part of the penis.(44,45,46,47,48,49,50,51,52) Many people are surprised to discover that the glans or head of the penis is actually the least sensitive part.(45,51,52)

    To no surprise, this information was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    The foreskin, like the eyelid, also serves an important set of protective and immunological functions. The foreskin protects the delicate glans of the penis and puts the urethra at a distance form its environment protecting it from foreign contaminants of all kinds. While simultaneously shielding the penis from injury. The foreskins inner fold and the glans of the penis are comprised of mucous membrane tissue. These are also present in your eyes, mouth, and all other bodily orifices including the female genitals. These mucous membranes perform many immunological and hygienic functions. Certain components such as Langerhans cells(53), plasma cells(54), apocrine glands(55), and sebaceous glands(56), collectively secrete emolliating lubricants(57) rich in enzymes such as lysosomal enzymes, cathepsin B, chymotrypsin, neutrophil elastase, immunoglobulin, and cytokine(58,59) whose function is to sequester and digest foreign pathogens. The foreskin is also responsible for the production, retention, and dispersal of pheromones such as androsterone(60). In time we will discover even more information about the foreskin and its functional components.

    The intact penis is naturally clean and maintains a level of hygiene that is optimal when compared to a penis that has been altered by circumcision. In fact, a myriad of rigorously controlled studies performed by objective researchers among racially and socioeconomically homogeneous study groups in developed urban settings have shown that circumcision is often associated with an increased risk of bacterial infections, viral infections, and major STDs (61,62,63,64,65,66,67,68,69,70,71,72).

    Needless to say, circumcised men have been denied normal bodily funtions associated with anatomicaly correct gentalia. Foregen is working tirelessly to restore physical integrity and emotional wellbeing to circumcised men who desire genital intactness. Visit Foregen.org and dontate to support the cause.

    Refrences:
    (1)Williams, N; L. Kapila (October 1993). “Complications of circumcision”. British Journal of Surgery 80 (10): 1231-1236.
    (2) Lallemand C-F. Des Pertes Seminales Involontaires, 3 vols. Pasis: Becht Jeune 1836, 1839,? 1842. Vol1.,pp.463-1: vol2., 70-162; vol. 3,.pp266-7,280-9
    (3) Dixon EH. A Treatise on Diseases of the Sexual organs. New York: Burgess, Stringer & Co. 1845. pp.158-65
    (4) Moses MJ. The Value of circumcision as a hygienic and therapeutic measure.? New York medical journal 1871 Nov;14(4):368-74
    (5)Kellogg, J.H.? (1888). “Treatment for Self-Abuse and Its Effects”. Plain Facts for Old and Young. Burlington, Iowa: F. Segner & Co. Plain Facts for Old and Young (1881 edition) at Project Gutenberg
    (6) Hutchinson J. On Circumcision as preventive of masturbation. Archives of surgery 1891 Jan;2(7);267-9
    (7) Remondino PC. Negro rapes and their social problems. National popular review 1894? Jan;4(1) 3-6
    (8) Cockshut RW. Circumcision. British Medical Journal 1935 Oct 19;2(3902):764
    (9) Guttmacher AF. Should? the baby be circumcised? Parents Magazine 1941 sept; 16(9):26,76-8
    (10) Miller RL. Snyder DC. Immediate circumcision of the new born male. Am J Obstet Gynecol 1953, Jan;6 (1):1-11
    (11) Fishbein M. Sex hygiene. In: Fishbein M(ed). Modern Home Medical Adviser. Garden City, New York Doubleday& Company:1969. pp. 90. 119.
    (12) M. F. Campbell, “The Male Genital Tract and the Female Urethra,” in Urology, eds. M. F. Campbell and J. H. Harrison, vol. 2, 3rd ed. Philadelphia: W. B. Saunders, 1970),1836.
    (13) F. A. Hodges, “Short ?History of the Institutionalization of Involuntary Sexual Mutilation in the United States,” in G. C. Denniston and M. F. Milos, eds., Sexual Mutilations: A Human Tragedy (New York: Plenum Press, 1997), 35.
    (14) Robert Tuttle Morris, M.D. Is evolution trying to do away with the clitoris? American Association of OB/GYNs Vol.5, 1892, pp.288-302
    (15) T. Scott McFarland, M.D. Circumcision of Girls. Journal of Orificial Surgery. Vol.7,July 1898,pp.31-33
    (16) Benjamin E. Dawson, A.M., M.D. Circumcision in the Female: Its Necessity and How to Perform it. American Journal of Clinical Medicine. Vol.22, No. 6, June 1915, pp.520-525
    (17) Belle C. Eskridge M.D. Why not circumcise the girl as well as the boy? Texas State Journal of Medicine Vol. 14, May 1918
    (18) Mc Donald, C.F., M.D. Circumcision of the female. General Practitioner Vol. 18 No3, Sept 1958, pp.98-99
    (19) W.G. Rathmann M.D. Female Circumcision: Indications and a new Technique. General practitioner Vol. 20, No.3, Sept 1959, pp.115-120
    (20) Adler R, Ottaway S, Gould S. Circumcision: we have heard from the experts; now lets hear from the parents. Pediatrics 2001 Feb;107(2):E20
    (21) Topp, S. (1978, January). Why not to circumcise your baby boy. Mothering, 6, 69-77.
    (22) Fleiss, Paul M.D. What your Doctor May Not Tell You About Circumcision. Warner books. New York. Sept 2002.
    (23)Stang , M.J., & Snellman, L.W. (1998). Circumcision practice patterns in the United States. Pediatrics, 101(6)
    (24)Gunnar MR, Fisch RO, Korsvik S, Donhowe JM. The effects of circumcision on serum cortisol and behavior. Psychoneuroendocrinology 1981; 6(3):269-75.
    (25) Porter FL, Miller RH, and Marshal RE. Neonatal pain cries: effect of circumcision on acoustic features and perceived urgency. Child Dev 1986;57:790-802.
    (26) Gunnar MR, Connors J, Isensee, Wall L. Adrenocortical activity and behavioral distress in human newborns. Dev Psychobiol 1988;21(4):297-310.
    (27) Anders TF, Chalemian RJ. The effects of circumcision on sleep-wake states in human neonates. Psychosom Med 1974;36(2):174-9.
    (28) Marshall RE, Stratton WC, Moore JA, et al. Circumcision I: effects upon newborn behavior. Infant Behavior and Development 1980;3:1-14.
    (29) Marshall RE, Porter FL, Rogers AG, et al. Circumcision: II effects upon mother-infant interaction. Early Hum Dev 1982; 7(4):367-74.
    (30) Lee N. Circumcision and breastfeeding. J Hum Lact 2000;16(4):295.
    (31) Anand KJS, Hickey PR. Pain and its effects in the human neonate and fetus. New Engl J Med 1987;317(21):1321-9.
    (32) Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol 2002;7(3):329-43.
    (33) Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 1997;349(9052):599-603.
    (34)LaPrairie Jamie L. Murphy Anne Z. Neonatal Injury Alters Adult Pain Sensitivity by Increasing Opioid Tone in the Periaqueductal Gray. Front Behav Neurosci 30 September 2009.
    (35) Rhinehart J. Neonatal circumcision reconsidered. Transactional Analysis J 1999;29(3):215-21.
    (36) Van der Kolk BA, Perry JC, Herman JL. Childhood origins of self-destructive behavior. Am J Psychiatry 1991; 148;1665-71.
    (37) Jacobson B, Bygdeman M. Obstetric care and proneness of offspring to suicide. BMJ 1998; 317:1346-49.
    (38) Van der Kolk BA. The compulsion to repeat the trauma: re-enactment, revictimization, and masochism. Psychiatr Clin North Am 1989;12(2):389-411.
    (39) Goldman R. The psychological impact of circumcision. BJU Int 1999;83 Suppl. 1:93-103.
    (40) Maguire P, Parks CM. Coping with loss: surgery and loss of body parts. BMJ 1998;316(7137):1086-8.
    (41)Hill G. The case against circumcision. J Mens Health Gend 2007;4(3):318-23
    (42)Goldman R. Circumcision policy: a psychosocial perspective. Paediatr Child Health 2004;9(9):630-3.
    (43) See photographic series in: lander MM. The Human prepuce. In: Denniston GC, Milos MF (eds). Sexual Mutilations: a human Tragedy. New York: Plenum Press; 1997. pp.79-81
    (44) Moldwin RM, Valderrama E. Immunohistochemical analysis of nerve fistribution patterns within preputial tissues. J Urol 1989 Apr;141(4):499A. (abstract)
    (45) Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized musocsa of the penis and its loss to circumcision. Br J Urol 1996 Feb;77(2): 291-5
    (46) Dogiel AS. Die Nervenendigungen in der Haut der ausseren Genitalorgane des Menschen. Archiv fur Mikroskopische Anatomie 1893:41:585-612
    (47)Bazett HC, McGlone B, Williams RG, Lufkin HM. Depth, distribution and probable identification in the prepuce of sensory end-organs concerned in sensations of temperature and touch; thermometric conductivity. Archives of Neurology and psychiatry 1932 Mar; 27(3):489-517
    (48) Ohmori D. Uber die Entwicklung der Innervation der Genitalapparate als peripheren Aufnahmeapperat der Genitalen Reflexe. Zeitschrift fur Anatomie und Entwicklungsgeschichte 1924;70(1):347-410.
    (49)Halata Z, Munger BL. The neuroanatomical basis for the protopathic sensibility of the human glans penis. Brain Res 1986 Apr23;371(2):205-30.
    (50)Winkelmann RK. The Cutaneous Innervation of the human newborn prepuce. Invest Dermatol 1956 Jan;26(1):53-67
    (51)Winkelmann RK. The erogenous zones: their nerve supply and its significance. Proceedings of the staff meetings of the Mayo Clinic 1959 Jan21(2):39-47
    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869
    (53) Weiss GN, Sanders M, Westbrook KC. The distribution and density of Langerhans cells in the human prepuce: site of diminished immune response? Isr J Med Sci 1993 Jan;29(1);42-3
    (54) Flower PJ, Ladds PW, Thomas AD, Watson DL. An immunopathologic study on the bovine prepuce. Vet Pathol 1983 Mar;20(2):189-201.
    (55)Ahmed A, Jones AW. Apocrine Cystadenoma: a report of two cases occurring on the prepuce. Br J Dermatol 1969 Dec; 81(12):899-901.
    (56)Hyman AB, Brownstien MH. Tyson’s “glands”: ectopic sebaceous glands and papillomatosis penis. Arch Dermatol 1969 Jan;99(1):31-6
    (57)Parkash S, Jeykumar S, Subramanyan K, Chaudhuri S. Human Subpreputial collection: its nature and formation. J Urol 1973 Aug 110(2):211-2
    (58) Ahmed AA, Nordlind K, Schultzberd M, Liden S. Immunohisto chemical localization of IL-1 alpha-, IL-1 beta-, IL-6- and TNF-alpha-like immunoreactivities in human apocrine glands Arch
    (59) Frohlich E Shamburg-Lever G, Klesses C. Immunelectron microscopic localization of cathepsin B in human apocrine glands. J Cutan Pathol 1993 Feb;20(1):54-60
    (60) Cohn BA. In search of human skin pheromones. Arch Dermatol 1994 Aug; 130(8):1048-51
    (61)Dermatol Res 1995;287(8):764-6Smith GL, Greenup R, Takafuji ET. Circumcision as a risk factor for urethritis in racial groups. AM J Public Health 1987 Apr;77(4):452-4
    (62) Bassett I, Donovan B, Bodsworth NJ. Male circumcision and common sexually transmissible diseases in a developed nation setting. Genitourin Med 1994 Oct;70(5):317 -20.
    (63) Bassett I, Donovan B, Bodsworth NJ, Field PR, Ho DW, jeansson S, Cunningham AL. Herpes Simplex virus type 2 infection of heterosexual men attending a sexual health sentre. Med J Aust 1994 Jun 6:160(11);697-700
    (64) Van Howe R. Does Circumcision Influence Sexually Transmitted diseases?: a literature review. BJU Int 1999 Jan;83 Suppl 1:52-62.
    (65) Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States: prevalence, prophylactic effects, and sexual Practice. JAMA 1997 Apr2;277(13):1052-7
    (66) Dickson NP, Van Rood T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. J Pediatr 2008;152:383-7.
    (67) Cook LS, Koutsky LA. Holmes KK. Clinical presentation of genital warts among circumcised and uncircumcised heterosexual men attending an urban STD clinic. Genitourin Med 1993 Aug;69(4):262-4
    (68) Van Howe, Robert S. (May 2007). “Human papillomavirus and circumcision: A meta-analysis”. Journal of Infection 54 (5): 490496.
    (69) Dinh, T.H.; M. Sternberg, E.F. Dunne and L.E. Markowitz (April 2008). “Genital Warts Among 18- to 59-Year-Olds in the United States, National Health and Nutrition Examination Survey, 19992004″. Sexually Transmitted Diseases 35 (4): 357360.
    (70) Van Howe, R.S. (January 1999). “Circucmsion and HIV infection: review of the litarature and meta-analysys”. International Journal of STD’s and AIDS 10: 816.
    (71)Amir J. et al. Circumcision and Urinary Tract Infections in Infants. Am J Dis Child (1986), vol. 140, p. 1092.
    (72)Prais D. Shoov-Furman R, Amir J. Is circumcision a risk factor for neonatal urinary tract infections? Arch Dis Child Published Online First: 6 October 2008.

  145. anaon, why are study’s form Africa inapplicable?

    omparing a circumcised upper class and an intact lower class or comparing circumcised African Muslims to intact African Non-Muslims, is inapplicable because of the significant difference in hygienic and sexual behavior which affect the results far more then circumcision status which in turn is also related to tribal affiliation. Studies performed in Africa could never be extrapolated to populations in the U.S., because of the drastically different culture. Pro-circumcision studies taken from rural Africa routinely and deliberately neglect these plain and obvious flaws during their data mining operations in rural Africa.

    1)Rates of exposure for each group with in their separate communities. In these particular places circumcised men have less exposure to HIV due to separation their respective communities experience.
    2)Dry sex is A practice that is common in many of these communities. It entails drying the vagina with dirt, sand, dried leaves, corn meal, or powders to absorb lubrication. This practice is unsanitary and causes lesions and other entry points that increase risk for STD transmission.(18)
    3)Genital warts and ulcers re-occurrence, how they were treated, the final efficacy of that particular treatment (Excision or chemical). And the irresponsible sexual behavior on both men(19) and prostitutes while afflicted with genital ulcer disease(GID)(20). GUD is an endemic in parts of Africa.
    4)Female circumcision: where male circumcision exists female circumcision usually exists as well.
    5)Anal sex
    6)Homosexual sex

    (18) Runganga A, Pitts M, McMaster J. The use of herbal and other agents to enhance sexual experience. Soc Sci Med 1992 Oct;35 (8):1037-42.
    Runganga AO, Kasule J. The Vaginal use of herbs/substances; an HIV transmission facilitatory factor? AIDS Care 1995;7(5):639-45.
    Sandala L, Lurie P, Sunkutu MR, Chani EM, Hudes ES, Hearst N. Dry sex and HIV infection among women attending a sexually transmitted disease clinic in Lusaka Zambia. AIDS 1995 Jul;9 Suppl 1:s61-8
    Brown JE, Ayowa OB, Brown RC. Dry and tight: sexual practices and potential AIDS risk in Zaire. Soc SCI Med 1993 Oct;37(8):989-94
    Dallabetta GA, Miotti PG, Chip hangwi JD, Liomba G, Canner JK, Saah AJ. Traditional vaginal agents: use and association with HIV infection in Malawian women. AIDS 1995 Mar;9(3):239-7.
    Gresenguet G, Kriess JK, Chapko MK, Hillier SL, Weiss NS. HIV infection and vaginal douching in central Africa. AIDS 1997 Jan;(1):101-6.
    Baleta A. Concern voiced over dry sex practices in South Africa. Lancet 1998 Oct 17;352(9136):1292
    Beksinska ME, Rees HV, Kleinschmidt I, McIntyre J. the practice and prevalence of dry sex among men and women in South Africa: a risk factor for sexually transmitted infections? Sex Transm infect 1999 Jun;75(3):178-80
    (19) Peoin J, Quigley M, Todd J, Gaye I, Janneh M Van DyckE, Piot,P, Whittle H. Association between HIV-2 infection and genital ulcer diseases among male sexually transmitted diseases patients in the Gambia. AIDS 1992 May;6(5):489-93.
    OFarrell N, Hoosen AA, Coetzee KD, van den Ende J. Sexual behavior in Zulu men and women with genial ulcer disease. Genitourin Med 1992 Aug;68(4):245-8.
    De Vincenzi I Mertens T. Male circumcision: a role in HIV prevention? AIDS 1994 Feb;8(2)
    (20)Kaul R, kimani J, Nagelkerke NJ, Plummer FA, Bwayo JJ, Brunham RC, Ngugi EN, Ronald A. Risk factors for genital ulcerations in Kenyan sex workers: the role of human immunodeficiency virus type 1 infection. Sex Transm Dis 1997 Aug;24(7):387-92

  146. Katy E, Would you Judge a parent who cut off their daughter’s clitoral hood for no reason other than the mother was cut?

    Genital Mutilation = bad parenting. The intention doesn’t matter, there’s no sugar coating the fact that you deprived a human being of body parts that provide pleasure. And that’s a monstrous thing to do.

    But here’s the thing. EVERYONE makes mistakes, nobody is perfect. But there’s no excuse for willful ignorance, if presented with the truth and the truth is rejected THAT makes you a bad parent.

    Your feelings are not more important than a child’s wellbeing. You don’t have to beat yourself up over a mistake, but you DO have to recognize it.

  147. Joshua, Thanks for the psychoanalysis of my husband. I’ll pass it along to him right before I give him a blow job.

  148. Craig, you may think the recent science is worthless, but I’m more apt to side with actual doctors and scientists who are taking them quite seriously.

    From the New York Times last August: “Both the C.D.C. and the American Academy of Pediatrics have been reviewing the scientific evidence on circumcision with an eye to issuing new policy recommendations, but so far neither body has done so, although the federal agency was to have issued its new recommendations by the end of last year. Officials from the pediatrics academy said its new policy would be issued by early 2011; a task force that studied the topic has completed its report, which is being reviewed by several other committees, said Dr. Michael Brady, chairman of pediatrics at Nationwide Childrens Hospital in Columbus, Ohio, who served on the task force. The academy is likely to adopt a more encouraging stance than its current neutral position and to state that the procedure has health benefits beyond H.I.V. prevention, Dr. Brady said. The World Health Organization in 2007 endorsed male circumcision as an important intervention to reduce the risk of heterosexually acquired H.I.V. http://www.nytimes.com/2010/08/17/health/research/17circ.html?_r=1&scp=2&sq=infant%20circumcision&st=cse

  149. And by the way, oral cancer linked to HPV now exceeds oral cancer linked to tobacco use.
    http://www.google.com/hostednews/afp/article/ALeqM5i80M66TPHXMnQmOKUlpcpu_gNOuQ?docId=CNG.2fa97f53bfcdc1875eb8f281d95222b2.781

  150. anon, Even if they decide circumcision does reduce HIV no one will be recommending it for CHILDREN.

    Perhaps the most shocking fact is that circumcision continues to be practiced in the United States even though no official western medical organization in the world recommends it. The Royal Dutch Medical Society, The British Medical Association, the Canadian Pediatric Society, and the Royal Australian College of Physicians have all made official policy statements against circumcision. The American Academy of Pediatrics, the American Medical Association, the American Academy of Family Physicians, and the American Urological Association all do not recommend circumcision, and are also in agreement that there are no proven benefits.

    Circumcision advocates quickly moved on to manufacture a number of outrageous health claims. These claims were tailored to the fears and anxieties of the day. Circumcision has been claimed to cure epilepsy, convulsions,? paralysis, elephantiasis, tuberculosis, eczema, bed-wetting, hip-joint disease, fecal incontinence, rectal prolapse, wet dreams, hernia, headaches, nervousness, hysteria, poor eyesight, idiocy, mental retardation, insanity, strabismus, hydrocephalus, clubfoot, cancer, STDs, UTIs, ect.(13) Doctors were eager to claim that they could cure many of these aliments,conditions and diseases because there were no treatments available then. Even though all of these claims have been throughly discredited, circumcision has remained a solution in search of a problem ever since. Many Americans are surprised to find out that female genital cutting (FGC) shares a strikingly similar history in the United States.(5,14,15,16,17,18,19) FGC was even covered by Blue Cross Blue Shield until 1977. Nowadays, many forms of FGC are now considered forms of female genital mutilation (FGM), which are banned in all western countries.

    To days fear and anxiety is HIV. When we have an HIV vacensse this will evaporate quickly. Cirucmisers will not doubt find new “reasons” I don’t care what doctors YOU KNOW, i doubt any of these doctors have spent 10 years reviewing all the literature there is on circumcision as i have. It would not be practical for them they have their own career and have other things to worry about. Doctors rarely know any more then your average person other then the fact they know how to perform the surgery and collect the money.

    5)Kellogg, J.H.? (1888). “Treatment for Self-Abuse and Its Effects”. Plain Facts for Old and Young. Burlington, Iowa: F. Segner & Co. Plain Facts for Old and Young (1881 edition) at Project Gutenberg
    (6) Hutchinson J. On Circumcision as preventive of masturbation. Archives of surgery 1891 Jan;2(7);267-9
    (7) Remondino PC. Negro rapes and their social problems. National popular review 1894? Jan;4(1) 3-6
    (8) Cockshut RW. Circumcision. British Medical Journal 1935 Oct 19;2(3902):764
    (9) Guttmacher AF. Should? the baby be circumcised? Parents Magazine 1941 sept; 16(9):26,76-8
    (10) Miller RL. Snyder DC. Immediate circumcision of the new born male. Am J Obstet Gynecol 1953, Jan;6 (1):1-11
    (11) Fishbein M. Sex hygiene. In: Fishbein M(ed). Modern Home Medical Adviser. Garden City, New York Doubleday& Company:1969. pp. 90. 119.
    (12) M. F. Campbell, “The Male Genital Tract and the Female Urethra,” in Urology, eds. M. F. Campbell and J. H. Harrison, vol. 2, 3rd ed. Philadelphia: W. B. Saunders, 1970),1836.
    (13) F. A. Hodges, “Short ?History of the Institutionalization of Involuntary Sexual Mutilation in the United States,” in G. C. Denniston and M. F. Milos, eds., Sexual Mutilations: A Human Tragedy (New York: Plenum Press, 1997), 35.
    (14) Robert Tuttle Morris, M.D. Is evolution trying to do away with the clitoris? American Association of OB/GYNs Vol.5, 1892, pp.288-302
    (15) T. Scott McFarland, M.D. Circumcision of Girls. Journal of Orificial Surgery. Vol.7,July 1898,pp.31-33
    (16) Benjamin E. Dawson, A.M., M.D. Circumcision in the Female: Its Necessity and How to Perform it. American Journal of Clinical Medicine. Vol.22, No. 6, June 1915, pp.520-525
    (17) Belle C. Eskridge M.D. Why not circumcise the girl as well as the boy? Texas State Journal of Medicine Vol. 14, May 1918
    (18) Mc Donald, C.F., M.D. Circumcision of the female. General Practitioner Vol. 18 No3, Sept 1958, pp.98-99
    (19) W.G. Rathmann M.D. Female Circumcision: Indications and a new Technique. General practitioner Vol. 20, No.3, Sept 1959, pp.115-120

  151. Wow, I love the rampant use of “scientific documentation” to get your points across. Here’s a fact, if women didn’t have breasts, they wouldn’t get breast cancer! Let’s just cut off all the parts that could possibly become infected, pass disease, “get dirty” or oohh, look funny! Oh wait, we’d have nothing left! Circumcision is hands down a cultural artifact left over from a time that sought to control people and their sexuality (unsuccessfully of course). As an anthropologist, I try to see all the sides, and I do. I still have my own opinions though. And it is this. If it’s not YOUR body, you have ZERO right to remove a healthy, functioning body part for cosmetic purposes. Cleave to the “medical reasons” all one wants, the truth of it is merely grasping at straws and statistical evidence that can be tailored to prove the argument of either side. And my son is happily intact.

  152. anon, most of the WORLDS doctors do not promote circumcision. To most people in the world it is a bizarre ritual.

    If circumcised men are less prove to HIV due to the reduction in the number of langerands and CD4 cells then FGM will provide the same protective effect. why do we not promote FGM?

    Stallings et al. 2009 -
    Risk of HIV among women who had undergone Female Circumcision is roughly half that of women who had not. Association remained significant after adjusting for region, household wealth, age, lifetime partners, and union status.

    - Female circumcision and HIV infection in Tanzania:
    For better or? for worse?
    3rd IAS conference on HIV pathogenesis and treatment
    International AIDS Society


    Women who have? undergone Female Circumcision have a significantly decreased risk of HIV-2 infection when compared to those who had not.
    ——————————*——–
    Kanki P, M’Boup S, Marlink R, et al.
    “Prevalence & risk determinants of HIV type 2
    (HIV-2) and human immunodeficiency virus type 1
    (HIV-1) in west African female prostitutes
    Am. J. Epidemiol. 136 (7): 895-90

    Medical doctors in Australia, Canada, and the United States practiced circumcision in the twentieth century, so these nations have a heavy proportion of circumcised men, some of whom become medical doctors. These circumcised male doctors share the same bias in favor of male circumcision as do other circumcised males.[7] [31] [43] Male doctors who were circumcised as infants are more likely to recommend circumcision of infants to parents.[44]

    The Australian Paediatric Association recommended non-circumcisiongenital integrityin 1971;[45] thereafter, the incidence of circumcision among Australia’s newborn plummeted.[46] At the present time, in regard to genital integrity status, Australia is, in effect, two nations, one of which has mostly circumcised men and the other that has mostly intact men. The dividing point is the year 1978, because the incidence of genital integrity among newborn boys rose above 50 percent in that year.[46] The ever-increasing percentage of genitally intact younger men in the population is causing increasing anxiety and distress among some older circumcised males. There now is a peculiar phenomenon happening in Australia, where one sees middle-aged men trying to restore Australia’s medical practice back to that which prevailed before 1971. This is, of course, an attempt to defend the culture-of-origin and is carried out for the emotional reasons described here, although, as Goldman reports, pseudo-scientific reasons are advanced .[31]

    Behavior of circumcised medical authors
    The high proportion of circumcised males in the medical community create a distorted, biased medical literature.[47] Goldman (1999) writes:

    “One reason that flawed studies are published is that science is affected by cultural values. A principal method of preserving cultural values is to disguise them as truths that are based on scientific research. This ‘research’ can then be used to support questionable and harmful cultural values such as circumcision. This explains the claimed medical ‘benefits’ of circumcision.”[31]

    Hill (2007) writes:

    “The medical literature on circumcision is voluminous and contentious. Circumcised doctors create papers that overstate benefits and minimize harms and risks. When these doctors publish such claims, other doctors come forward to refute them….The result is an unending debate driven by the emotional compulsion of circumcised men.”[43]

    Female doctors from a circumcising culture of origin have been known to contribute pro-circumcision pieces.

    Most American medical editors are circumcised men. They share the pro-circumcision bias of other circumcised men. They tend to select papers for publication that conform to their bias. The literature, therefore, is filled with pro-circumcision papers written by circumcised doctors. The behavior of these circumcised doctors has served for a century to prolong the practice of a nineteenth century surgical operation that has no medical indication and is injurious to infants and children.

    Behavior of medical societies
    Medical societies in the English-speaking nations have a high proportion of male members (fellows) who are circumcised. The societies that represent medical specialities that practice circumcision have found themselves unable to adequately address the problem of circumcision and to repudiate this harmful, outmoded practice.

    Goldman writes:

    “Although medical committee members highly value rationality, a rational and objective evaluation of an emotional and controversial topic like circumcision can be difficult. It is suggested that the potential psychological and social factors surrounding the practice of circumcision could affect the values and attitudes of circumcision policy committee members, the attitude toward evaluating the circumcision literature, and the publishing of circumcision literature itself. If the members are polarized, the process of negotiating to arrive at a consensus statement could introduce additional psychosocial factors that could affect the final policy.”[48]

    Dr. Goldman published the two articles cited here in the United Kingdom and Canada, not the United States. This may be a testimony to the bias and censorship present in the medical literature of the United States.

  153. fact is even assuming the overstated benefits are true. Circumcision causes more harm then it prevents.

    This trauma leads to so many proven psychological and surgical complications. Surgical complications occur 2-10% of the time (3). This translates to a 1/50 chance to a 1/10 chance. It would be analogous to playing roulette with the future of your sons penis. Circumcision is a far more pressing and immediate danger to your sons penis then a foreskin could ever be.

    Psychological and surgical complications include but not limited too, bleeding, infection, gangrene, necrosis, urinary retention, meatal ulceration, meatal stenosis, urethra fistula, hypospadias and epispadias, lymphedema, rapture of the organs, buried penis, peno-scrotal webbing, adhesions, impotence, excessive skin loss/denudation,? chordee, cysts, skintags/bridges, pitting of the? glans, loss of the penis and death. Others include but are not limited too Apnea, rapture of the lung, heart, stomach, and bladder, leg cyanosis, persistent vomiting, keloid formation, amputation of the glans, and even PTSD. Organs can rapture due to the trauma, crying, and convulsions. Of course you don’t hear about this because an infant cant complain. But there is a lot of hysterical crying due to the pain and suffering for all these events. Infants can not be given anesthesia with out serious risk of ?complications in its administering. Documented complications are probably the most sizable set of documentation there is available about circumcision period. If you count more minor skin tags, complication rates as high as 55%(3) have been documented.

    And worst of all, more then 117 (4) to 230(5) infants die from circumcision every year.
    In fact more infants die form circumcision then adults die form penile cancer (penile cancer is extremely rare) (5). More infants die from circumcision then SIDS. More infants die form circumcision then infants die of smoke inhalation and car accidents combined during the first month of life.
    Countless others lose their entire penis and are given non-consenting gender reassignment surgery (6,7). Others experience an accidental severance of the primary dorsal nerve. The terminal branch of the pudendal nerve connects to the skin of the penis, the prepuce, the corpora cavernosa, and the glans. Destruction of these nerves is a rare but devastating complication of circumcision. If cut during circumcision, the top two-thirds of the penis will be almost completely without sensation. (8)
    One boy even had a blood infection that went to his brain causing permanent cerebral palsy. The types of complications are numerous and I could write about them with no end. Since circumcision is unnecessary so are all these complications.

    (3)Williams, N; L. Kapila (October 1993). “Complications of circumcision”. British Journal of Surgery 80 (10): 1231–1236. doi:10.1002/bjs.1800801005. PMID 8242285. http://www.cirp.org/library/complications/williams-kapila/. Retrieved 2006-07-11.

    (4) Bollinger, Dan; Boy’s Health Advisory (2010-04-26). “Lost Boys: An Estimate of U.S. Circumcision-Related Infant Deaths”. Thymos: Journal of Boyhood Studies 4 (1): 7890

    (5) Gellis, SS. Circumcision. Am J Dis Child 1978;132:1168.

    (6) J. P. Gearhart and J. A. Rock, “Total Ablation of the Penis after Circumcision with Electrocautery: A Method of Management and Long-Term Followup,” Journal of Urology 142 (1989):799-801.

    (7) M. Diamond and H. K. Sigmundson, “Sex Reassignment at Birth: Long-Term Review and Clinical Implications,” Archives of Pediatrics and Adolescent Medicine 151 (1997): 298-304.]

    (8) Agur, A.M.R. ed., “Grant’s Atlas of Anatomy,” Ninth Edition (Williams and Wilkins, 1991): 188-190. 2. Netter, F.H., “Atlas of Human Anatomy,” Second Edition (Novartis, 1997): plate 380, 387.]

  154. SLMama, your welcome. and good for you keeping your marriage exciting. But the number one reason Male Genital Mutilation continues to exist is Denial. Victims are forced to deny just to be able to cope with life. You can either perpetuate the violence, or end it. It’s unfortunate that your husband chose to perpetuate.

  155. Joshua, this is true
    Many circumcised men, some of whom are doctors, experience a strong denial of loss which in turn fuels an emotional compulsion to repeat the trauma to normalize their loss.

    The condition of the male phallus impacts a male’s feeling of well-being. A phallus diminished by the loss of the erogenous foreskin to circumcision necessarily adversely affects one’s feelings about one’s self, resulting in uncomfortable feelings of low self-esteem. There is, therefore, a strong tendency to deny that any loss occurred. Minimization of the loss is a common defense mechanism; ridicule of the subject is another. Persons who have lost body parts must grieve their loss.[41] Failure to grieve and accept the loss puts one in permanent denial of loss.[42] Many men who have been circumcised do not want non-circumcised males, including their own sons, around to remind them of their irreversible loss. For these emotional reasons, as Foley (1966) observed, there tends to be a strong irrational bias in favor of universal circumcision among circumcised males.[7] Many fathers who were victims of neonatal circumcision, for the reasons described above, adamantly insist that any male offspring be circumcised.[24] This phenomenon has come to be called “the adamant father syndrome.” Circumcision, therefore is a repeating cycle of trauma in which circumcised infant males grow up to be adult circumcisers.[31]

    41.Maguire P, Parks CM. Coping with loss: surgery and loss of body parts. BMJ 1998;316(7137):1086-8.

    42 Denniston GC. An Epidemic of Circumcision. Third International Symposium on Circumision, University of Maryland, College Park, Maryland, May 22-25, 1994.

    7 Foley JM. The unkindest cut of all. Fact 1966;3(4):2-9.

    24 Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol 2002;7(3):329-43.

    31 Goldman R. The psychological impact of circumcision. BJU Int 1999;83 Suppl. 1:93-103.

  156. what is lost?

    What is the foreskin? is a question that many Americans would have trouble answering. Information about the foreskin is virtually absent during discussions of anatomy in biology classrooms, and yet, the foreskin provides a well-documeted set of crucial sensory, protective, immunological, hygienic, and sexual functions. The foreskin is a double fold of skin that is twice as big as its appearance. It can make up to 80% or more of the penile skin covering, and includes around 12-20 square inches of skin (the size of a 3×4 or a 4×5 index card!), and in turn includes a specialized sheet of dartos muscle(43,45). One of the functions of this mobile skin system is to glide up and down the shaft of the penis in order to facilitate non-abrasive stimulation during sexual activity without any need for artificial lubricant. This frictionless gliding mechanism is the principal source of stimulation for the intact penis and facilitates non-abrasive intercourse.

    The neuro-anatomy of the penis has been rigorously studied by respected anatomists of all kinds. The component tissues that comprise the foreskin are richly innervated with the greatest quantity and variety of sensory nerve endings than any other part of the penis.(44,45,46,47,48,49,50,51,52) Many people are surprised to discover that the glans or head of the penis is actually the least sensitive part.(45,51,52)

    To no surprise, this information was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    (43) See photographic series in: lander MM. The Human prepuce. In: Denniston GC, Milos MF (eds). Sexual Mutilations: a human Tragedy. New York: Plenum Press; 1997. pp.79-81

    (44) Moldwin RM, Valderrama E. Immunohistochemical analysis of nerve fistribution patterns within preputial tissues. J Urol 1989 Apr;141(4):499A. (abstract)

    (45) Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized musocsa of the penis and its loss to circumcision. Br J Urol 1996 Feb;77(2): 291-5
    (46) Dogiel AS. Die Nervenendigungen in der Haut der ausseren Genitalorgane des Menschen. Archiv fur Mikroskopische Anatomie 1893:41:585-612

    (47)Bazett HC, McGlone B, Williams RG, Lufkin HM. Depth, distribution and probable identification in the prepuce of sensory end-organs concerned in sensations of temperature and touch; thermometric conductivity. Archives of Neurology and psychiatry 1932 Mar; 27(3):489-517

    (48) Ohmori D. Uber die Entwicklung der Innervation der Genitalapparate als peripheren Aufnahmeapperat der Genitalen Reflexe. Zeitschrift fur Anatomie und Entwicklungsgeschichte 1924;70(1):347-410.

    (49)Halata Z, Munger BL. The neuroanatomical basis for the protopathic sensibility of the human glans penis. Brain Res 1986 Apr23;371(2):205-30.

    (50)Winkelmann RK. The Cutaneous Innervation of the human newborn prepuce. Invest Dermatol 1956 Jan;26(1):53-67

    (51)Winkelmann RK. The erogenous zones: their nerve supply and its significance. Proceedings of the staff meetings of the Mayo Clinic 1959 Jan21(2):39-47

    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869

  157. Craig, if the American Academy of Pediatrics changes its policy to be more encouraging of circumcision, as it seems likely to early this year, it will definitely be related to children. Because they are an academy of pediatricians.

  158. Anon,
    I was referring to the WHO and CDC.
    we will just have to wait and see what the AAP says. I doubt it tho as HIV as nothing to do with children. The entire world has been moving away from this barbaric ritual so is seriously doubt it. If the AAP does recommend it that would make them the only medical organization in the world to promote RIC. Not even in Israel do official medical organizations promote RIC. You are delusional, circumcision is quickly becoming an embarrassing memory for our primitive post Victorian culture. Try and come back here AFTER the AAP issues a new statement rather then presenting what YOU THINK they will say.

  159. anon, Circumcision is unhealthy and unhygienic, i suggest you read up on the PEER REVIEWED ACADEMIC PUBLICATIONS I REVERENCE( not news articles) in the segment below.

    The foreskin, like the eyelid, also serves an important set of protective and immunological functions. The foreskin protects the delicate glans of the penis and puts the urethra at a distance form its environment protecting it from foreign contaminants of all kinds. While simultaneously shielding the penis from injury. The foreskins inner fold and the glans of the penis are comprised of mucous membrane tissue. These are also present in your eyes, mouth, and all other bodily orifices including the female genitals. These mucous membranes perform many immunological and hygienic functions. Certain components such as Langerhans cells(53), plasma cells(54), apocrine glands(55), and sebaceous glands(56), collectively secrete emolliating lubricants(57) rich in enzymes such as lysosomal enzymes, cathepsin B, chymotrypsin, neutrophil elastase, immunoglobulin, and cytokine(58,59) whose function is to sequester and digest foreign pathogens. The foreskin is also responsible for the production, retention, and dispersal of pheromones such as androsterone(60). In time we will discover even more information about the foreskin and its functional components.

    The intact penis is naturally clean and maintains a level of hygiene that is optimal when compared to a penis that has been altered by circumcision. In fact, a myriad of rigorously controlled studies performed by objective researchers among racially and socioeconomically homogeneous study groups in developed urban settings have shown that circumcision is often associated with an increased risk of bacterial infections, viral infections, and major STDs (61,62,63,64,65,66,67,68,69,70,71,72).

    (53) Weiss GN, Sanders M, Westbrook KC. The distribution and density of Langerhans cells in the human prepuce: site of diminished immune response? Isr J Med Sci 1993 Jan;29(1);42-3

    (54) Flower PJ, Ladds PW, Thomas AD, Watson DL. An immunopathologic study on the bovine prepuce. Vet Pathol 1983 Mar;20(2):189-201.

    (55)Ahmed A, Jones AW. Apocrine Cystadenoma: a report of two cases occurring on the prepuce. Br J Dermatol 1969 Dec; 81(12):899-901.

    (56)Hyman AB, Brownstien MH. Tyson’s “glands”: ectopic sebaceous glands and papillomatosis penis. Arch Dermatol 1969 Jan;99(1):31-6

    (57)Parkash S, Jeykumar S, Subramanyan K, Chaudhuri S. Human Subpreputial collection: its nature and formation. J Urol 1973 Aug 110(2):211-2

    (58) Ahmed AA, Nordlind K, Schultzberd M, Liden S. Immunohisto chemical localization of IL-1 alpha-, IL-1 beta-, IL-6- and TNF-alpha-like immunoreactivities in human apocrine glands Arch

    (59) Frohlich E Shamburg-Lever G, Klesses C. Immunelectron microscopic localization of cathepsin B in human apocrine glands. J Cutan Pathol 1993 Feb;20(1):54-60

    (60) Cohn BA. In search of human skin pheromones. Arch Dermatol 1994 Aug; 130(8):1048-51

    (61)Dermatol Res 1995;287(8):764-6Smith GL, Greenup R, Takafuji ET. Circumcision as a risk factor for urethritis in racial groups. AM J Public Health 1987 Apr;77(4):452-4

    (62) Bassett I, Donovan B, Bodsworth NJ. Male circumcision and common sexually transmissible diseases in a developed nation setting. Genitourin Med 1994 Oct;70(5):317 -20.

    (63) Bassett I, Donovan B, Bodsworth NJ, Field PR, Ho DW, jeansson S, Cunningham AL. Herpes Simplex virus type 2 infection of heterosexual men attending a sexual health sentre. Med J Aust 1994 Jun 6:160(11);697-700

    (64) Van Howe R. Does Circumcision Influence Sexually Transmitted diseases?: a literature review. BJU Int 1999 Jan;83 Suppl 1:52-62.

    (65) Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States: prevalence, prophylactic effects, and sexual Practice. JAMA 1997 Apr2;277(13):1052-7

    (66) Dickson NP, Van Rood T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. J Pediatr 2008;152:383-7.

    (67) Cook LS, Koutsky LA. Holmes KK. Clinical presentation of genital warts among circumcised and uncircumcised heterosexual men attending an urban STD clinic. Genitourin Med 1993 Aug;69(4):262-4

    (68) Van Howe, Robert S. (May 2007). “Human papillomavirus and circumcision: A meta-analysis”. Journal of Infection 54 (5): 490496.

    (69) Dinh, T.H.; M. Sternberg, E.F. Dunne and L.E. Markowitz (April 2008). “Genital Warts Among 18- to 59-Year-Olds in the United States, National Health and Nutrition Examination Survey, 19992004″. Sexually Transmitted Diseases 35 (4): 357360.

    (70) Van Howe, R.S. (January 1999). “Circucmsion and HIV infection: review of the litarature and meta-analysys”. International Journal of STD’s and AIDS 10: 816.

    (71)Amir J. et al. Circumcision and Urinary Tract Infections in Infants. Am J Dis Child (1986), vol. 140, p. 1092.

    (72)Prais D. Shoov-Furman R, Amir J. Is circumcision a risk factor for neonatal urinary tract infections? Arch Dis Child Published Online First: 6 October 2008.

  160. I applaud your decision, Jenn.

    I don’t see how anyone could think it makes sense to mutilate a healthy organ to drop the risk of an infection from 6% to 5% that can be treated by a 5-day course of antibiotics; or to drop from 1 in 2000 to 1 in 1000 a risk that is mitigated by a $1 piece of latex.

  161. itzac, and circumcision does not even do that much. its Farr more likely to suffer a complication or an infection from the amputation wound.

    even assuming the overstated benefits are true. Circumcision causes more harm then it prevents. This trauma leads to so many proven psychological and surgical complications. Surgical complications occur 2-10% of the time (3). This translates to a 1/50 chance to a 1/10 chance. It would be analogous to playing roulette with the future of your sons penis. Circumcision is a far more pressing and immediate danger to your sons penis then a foreskin could ever be.

    (3)Williams, N; L. Kapila (October 1993). “Complications of circumcision”. British Journal of Surgery 80 (10): 1231–1236. doi:10.1002/bjs.1800801005. PMID 8242285. http://www.cirp.org/library/complications/williams-kapila/. Retrieved 2006-07-11.

  162. Thanks for your thoughts on this. I haven’t been forced to make a decision yet as I only have a daughter at the moment. I thought a lot about it throughout my pregnancy, though, as I didn’t know if I was having a boy or girl and knew I would need to be prepared at birth with a decision. I asked my brother and brother in law, both not circumcised as children what they thought. They both would circumcise their children having experienced what they have. My brother in law had a terrible infection which got out of control while he was out at sea. He circumcised himself (he has medical training). My brother has also struggled with infections, sensitivity, and of course being the ‘different’ one. My husband is Jewish, and was circumcised in ceremony, his Mom said that he cried for just a few moments, less than he would with a shot, and healed remarkably quickly. I still, don’t know what I will decide if I should ever be in the position, so I thank you for also adding to my collection of positions on the issue.

  163. Craig, it’s not so much that I think the American Academy of Pediatrics is about to adopt a new policy that is more encouraging of circumcision in light of recent scientific evidence. It is that a member of the academy’s task force has said that is likely to happen:
    Again, from the New York Times last August:
    “Officials from the pediatrics academy said its new policy would be issued by early 2011; a task force that studied the topic has completed its report, which is being reviewed by several other committees, said Dr. Michael Brady, chairman of pediatrics at Nationwide Childrens Hospital in Columbus, Ohio, who served on the task force. The academy is likely to adopt a more encouraging stance than its current neutral position and to state that the procedure has health benefits beyond H.I.V. prevention, Dr. Brady said.”

  164. anon, one person opinion still does not reflect what they will say. besides it wasn’t good enough for allot of other recent policy statements.

    read this below. Circumcision has been claimed dot cure a long line of things that play on contemporary fears and anxiety. one day these will all seem silly. I suggest you look at the fact that northern Europe has zero circumcision in non religious communities and observe the fact that their superior medicine has resulted in a population with the lowest rates of all infections on the planet.

    The HIV vaccine WIll be developed by the time today’s baby’s are adults ANYWAY. Condoms alone are far more effective at reducing HIV risk.

    A wide range of surgical complications occur in 2-10% of the cases.(1) Since there are approximately 120 million circumcised men in the United States today, it stands to reason that there are millions of men who suffer daily from the effects of these botched circumcisions. These are the men who can benefit most form the work at Foregen.

    Many Americans are surprised to hear that circumcision (the surgical removal of the foreskin) is uncommon in the western world. Foreigners are often shocked when they first hear that the practice of circumcision even exists in the United States. Circumcision was first introduced in the United States by an anti-sexual Victorian initiative which began during the 1830s. Numerous publications from the 1830s to times even as late as the 1970s had advocated for circumcision as a means to prevent masturbation, and permanently desensitize the penis.(2,3,4,5,6,7,8,9,10,11,12)

    Circumcision advocates quickly moved on to manufacture a number of outrageous health claims. These claims were tailored to the fears and anxieties of the day. Circumcision has been claimed to cure epilepsy, convulsions,? paralysis, elephantiasis, tuberculosis, eczema, bed-wetting, hip-joint disease, fecal incontinence, rectal prolapse, wet dreams, hernia, headaches, nervousness, hysteria, poor eyesight, idiocy, mental retardation, insanity, strabismus, hydrocephalus, clubfoot, cancer, STDs, UTIs, ect.(13) Doctors were eager to claim that they could cure many of these aliments,conditions and diseases because there were no treatments available then. Even though all of these claims have been throughly discredited, circumcision has remained a solution in search of a problem ever since. Many Americans are surprised to find out that female genital cutting (FGC) shares a strikingly similar history in the United States.(5,14,15,16,17,18,19) FGC was even covered by Blue Cross Blue Shield until 1977. Nowadays, many forms of FGC are now considered forms of female genital mutilation (FGM), which are banned in all western countries.

    Perhaps the most shocking fact is that circumcision continues to be practiced in the United States even though no official western medical organization in the world recommends it. The Royal Dutch Medical Society, The British Medical Association, the Canadian Pediatric Society, and the Royal Australian College of Physicians have all made official policy statements against circumcision. The American Academy of Pediatrics, the American Medical Association, the American Academy of Family Physicians, and the American Urological Association all do not recommend circumcision, and are also in agreement that there are no proven benefits.

    For some reason this information is not making it to parents. Studies have shown that doctors provide parents with almost no accurate or useful information about circumcision. One study showed that 40% of parents believed that their doctors failed to provide enough information, 46% reported that their doctors failed to give them any medical information at all, and 82.8% of parents regretted their decision they made within the first six months of their sons life.(20) Another study found that physicians were less likely to circumcise their own sons.(21) This suggests that doctors are very well aware that circumcision is a non-therapeutic surgery (in short, a ritual); but they do not appear to share this knowledge with parents. A busy physician can supplement their income by as much as $60,000 per year from circumcision surgeries alone.(22) This incentive can cloud a physicians judgment when it comes to providing parents with information about circumcision.

    Many parents are surprised to hear that anesthetics are used in only a minority of cases.(23) The use of local anesthetics significantly drives up the costs of surgery. When anesthetics are used, they can only reduce the pain. Infants can not be given general anesthesia because of the medical risks involved. In the recent past, anesthesia was rarely used, if ever. Because of this, circumcision has always been an extremely traumatizing experience causing an array of short and long term behavioral problems, including altered perceptions, and post traumatic stress disorder (PTSD)(24,25,26,27,28,29,30,31,32,33,34,35), and a possibly self destructive behavior(36,37). Many circumcised men, some of whom are doctors, experience a strong denial of loss which in turn fuels an emotional compulsion to repeat the trauma to normalize their loss.(38,39,40,41,42)

    What is the foreskin? is a question that many Americans would have trouble answering. Information about the foreskin is virtually absent during discussions of anatomy in biology classrooms, and yet, the foreskin provides a well-documeted set of crucial sensory, protective, immunological, hygienic, and sexual functions. The foreskin is a double fold of skin that is twice as big as its appearance. It can make up to 80% or more of the penile skin covering, and includes around 12-20 square inches of skin (the size of a 3×4 or a 4×5 index card!), and in turn includes a specialized sheet of dartos muscle(43,45). One of the functions of this mobile skin system is to glide up and down the shaft of the penis in order to facilitate non-abrasive stimulation during sexual activity without any need for artificial lubricant. This frictionless gliding mechanism is the principal source of stimulation for the intact penis and facilitates non-abrasive intercourse.

    The neuro-anatomy of the penis has been rigorously studied by respected anatomists of all kinds. The component tissues that comprise the foreskin are richly innervated with the greatest quantity and variety of sensory nerve endings than any other part of the penis.(44,45,46,47,48,49,50,51,52) Many people are surprised to discover that the glans or head of the penis is actually the least sensitive part.(45,51,52)

    To no surprise, this information was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    The foreskin, like the eyelid, also serves an important set of protective and immunological functions. The foreskin protects the delicate glans of the penis and puts the urethra at a distance form its environment protecting it from foreign contaminants of all kinds. While simultaneously shielding the penis from injury. The foreskins inner fold and the glans of the penis are comprised of mucous membrane tissue. These are also present in your eyes, mouth, and all other bodily orifices including the female genitals. These mucous membranes perform many immunological and hygienic functions. Certain components such as Langerhans cells(53), plasma cells(54), apocrine glands(55), and sebaceous glands(56), collectively secrete emolliating lubricants(57) rich in enzymes such as lysosomal enzymes, cathepsin B, chymotrypsin, neutrophil elastase, immunoglobulin, and cytokine(58,59) whose function is to sequester and digest foreign pathogens. The foreskin is also responsible for the production, retention, and dispersal of pheromones such as androsterone(60). In time we will discover even more information about the foreskin and its functional components.

    The intact penis is naturally clean and maintains a level of hygiene that is optimal when compared to a penis that has been altered by circumcision. In fact, a myriad of rigorously controlled studies performed by objective researchers among racially and socioeconomically homogeneous study groups in developed urban settings have shown that circumcision is often associated with an increased risk of bacterial infections, viral infections, and major STDs (61,62,63,64,65,66,67,68,69,70,71,72).

    Needless to say, circumcised men have been denied normal bodily funtions associated with anatomicaly correct gentalia. Foregen is working tirelessly to restore physical integrity and emotional wellbeing to circumcised men who desire genital intactness. Visit Foregen.org and dontate to support the cause.

    Refrences:
    (1)Williams, N; L. Kapila (October 1993). “Complications of circumcision”. British Journal of Surgery 80 (10): 1231-1236.
    (2) Lallemand C-F. Des Pertes Seminales Involontaires, 3 vols. Pasis: Becht Jeune 1836, 1839,? 1842. Vol1.,pp.463-1: vol2., 70-162; vol. 3,.pp266-7,280-9
    (3) Dixon EH. A Treatise on Diseases of the Sexual organs. New York: Burgess, Stringer & Co. 1845. pp.158-65
    (4) Moses MJ. The Value of circumcision as a hygienic and therapeutic measure.? New York medical journal 1871 Nov;14(4):368-74
    (5)Kellogg, J.H.? (1888). “Treatment for Self-Abuse and Its Effects”. Plain Facts for Old and Young. Burlington, Iowa: F. Segner & Co. Plain Facts for Old and Young (1881 edition) at Project Gutenberg
    (6) Hutchinson J. On Circumcision as preventive of masturbation. Archives of surgery 1891 Jan;2(7);267-9
    (7) Remondino PC. Negro rapes and their social problems. National popular review 1894? Jan;4(1) 3-6
    (8) Cockshut RW. Circumcision. British Medical Journal 1935 Oct 19;2(3902):764
    (9) Guttmacher AF. Should? the baby be circumcised? Parents Magazine 1941 sept; 16(9):26,76-8
    (10) Miller RL. Snyder DC. Immediate circumcision of the new born male. Am J Obstet Gynecol 1953, Jan;6 (1):1-11
    (11) Fishbein M. Sex hygiene. In: Fishbein M(ed). Modern Home Medical Adviser. Garden City, New York Doubleday& Company:1969. pp. 90. 119.
    (12) M. F. Campbell, “The Male Genital Tract and the Female Urethra,” in Urology, eds. M. F. Campbell and J. H. Harrison, vol. 2, 3rd ed. Philadelphia: W. B. Saunders, 1970),1836.
    (13) F. A. Hodges, “Short ?History of the Institutionalization of Involuntary Sexual Mutilation in the United States,” in G. C. Denniston and M. F. Milos, eds., Sexual Mutilations: A Human Tragedy (New York: Plenum Press, 1997), 35.
    (14) Robert Tuttle Morris, M.D. Is evolution trying to do away with the clitoris? American Association of OB/GYNs Vol.5, 1892, pp.288-302
    (15) T. Scott McFarland, M.D. Circumcision of Girls. Journal of Orificial Surgery. Vol.7,July 1898,pp.31-33
    (16) Benjamin E. Dawson, A.M., M.D. Circumcision in the Female: Its Necessity and How to Perform it. American Journal of Clinical Medicine. Vol.22, No. 6, June 1915, pp.520-525
    (17) Belle C. Eskridge M.D. Why not circumcise the girl as well as the boy? Texas State Journal of Medicine Vol. 14, May 1918
    (18) Mc Donald, C.F., M.D. Circumcision of the female. General Practitioner Vol. 18 No3, Sept 1958, pp.98-99
    (19) W.G. Rathmann M.D. Female Circumcision: Indications and a new Technique. General practitioner Vol. 20, No.3, Sept 1959, pp.115-120
    (20) Adler R, Ottaway S, Gould S. Circumcision: we have heard from the experts; now lets hear from the parents. Pediatrics 2001 Feb;107(2):E20
    (21) Topp, S. (1978, January). Why not to circumcise your baby boy. Mothering, 6, 69-77.
    (22) Fleiss, Paul M.D. What your Doctor May Not Tell You About Circumcision. Warner books. New York. Sept 2002.
    (23)Stang , M.J., & Snellman, L.W. (1998). Circumcision practice patterns in the United States. Pediatrics, 101(6)
    (24)Gunnar MR, Fisch RO, Korsvik S, Donhowe JM. The effects of circumcision on serum cortisol and behavior. Psychoneuroendocrinology 1981; 6(3):269-75.
    (25) Porter FL, Miller RH, and Marshal RE. Neonatal pain cries: effect of circumcision on acoustic features and perceived urgency. Child Dev 1986;57:790-802.
    (26) Gunnar MR, Connors J, Isensee, Wall L. Adrenocortical activity and behavioral distress in human newborns. Dev Psychobiol 1988;21(4):297-310.
    (27) Anders TF, Chalemian RJ. The effects of circumcision on sleep-wake states in human neonates. Psychosom Med 1974;36(2):174-9.
    (28) Marshall RE, Stratton WC, Moore JA, et al. Circumcision I: effects upon newborn behavior. Infant Behavior and Development 1980;3:1-14.
    (29) Marshall RE, Porter FL, Rogers AG, et al. Circumcision: II effects upon mother-infant interaction. Early Hum Dev 1982; 7(4):367-74.
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    (32) Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol 2002;7(3):329-43.
    (33) Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 1997;349(9052):599-603.
    (34)LaPrairie Jamie L. Murphy Anne Z. Neonatal Injury Alters Adult Pain Sensitivity by Increasing Opioid Tone in the Periaqueductal Gray. Front Behav Neurosci 30 September 2009.
    (35) Rhinehart J. Neonatal circumcision reconsidered. Transactional Analysis J 1999;29(3):215-21.
    (36) Van der Kolk BA, Perry JC, Herman JL. Childhood origins of self-destructive behavior. Am J Psychiatry 1991; 148;1665-71.
    (37) Jacobson B, Bygdeman M. Obstetric care and proneness of offspring to suicide. BMJ 1998; 317:1346-49.
    (38) Van der Kolk BA. The compulsion to repeat the trauma: re-enactment, revictimization, and masochism. Psychiatr Clin North Am 1989;12(2):389-411.
    (39) Goldman R. The psychological impact of circumcision. BJU Int 1999;83 Suppl. 1:93-103.
    (40) Maguire P, Parks CM. Coping with loss: surgery and loss of body parts. BMJ 1998;316(7137):1086-8.
    (41)Hill G. The case against circumcision. J Mens Health Gend 2007;4(3):318-23
    (42)Goldman R. Circumcision policy: a psychosocial perspective. Paediatr Child Health 2004;9(9):630-3.
    (43) See photographic series in: lander MM. The Human prepuce. In: Denniston GC, Milos MF (eds). Sexual Mutilations: a human Tragedy. New York: Plenum Press; 1997. pp.79-81
    (44) Moldwin RM, Valderrama E. Immunohistochemical analysis of nerve fistribution patterns within preputial tissues. J Urol 1989 Apr;141(4):499A. (abstract)
    (45) Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized musocsa of the penis and its loss to circumcision. Br J Urol 1996 Feb;77(2): 291-5
    (46) Dogiel AS. Die Nervenendigungen in der Haut der ausseren Genitalorgane des Menschen. Archiv fur Mikroskopische Anatomie 1893:41:585-612
    (47)Bazett HC, McGlone B, Williams RG, Lufkin HM. Depth, distribution and probable identification in the prepuce of sensory end-organs concerned in sensations of temperature and touch; thermometric conductivity. Archives of Neurology and psychiatry 1932 Mar; 27(3):489-517
    (48) Ohmori D. Uber die Entwicklung der Innervation der Genitalapparate als peripheren Aufnahmeapperat der Genitalen Reflexe. Zeitschrift fur Anatomie und Entwicklungsgeschichte 1924;70(1):347-410.
    (49)Halata Z, Munger BL. The neuroanatomical basis for the protopathic sensibility of the human glans penis. Brain Res 1986 Apr23;371(2):205-30.
    (50)Winkelmann RK. The Cutaneous Innervation of the human newborn prepuce. Invest Dermatol 1956 Jan;26(1):53-67
    (51)Winkelmann RK. The erogenous zones: their nerve supply and its significance. Proceedings of the staff meetings of the Mayo Clinic 1959 Jan21(2):39-47
    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869
    (53) Weiss GN, Sanders M, Westbrook KC. The distribution and density of Langerhans cells in the human prepuce: site of diminished immune response? Isr J Med Sci 1993 Jan;29(1);42-3
    (54) Flower PJ, Ladds PW, Thomas AD, Watson DL. An immunopathologic study on the bovine prepuce. Vet Pathol 1983 Mar;20(2):189-201.
    (55)Ahmed A, Jones AW. Apocrine Cystadenoma: a report of two cases occurring on the prepuce. Br J Dermatol 1969 Dec; 81(12):899-901.
    (56)Hyman AB, Brownstien MH. Tyson’s “glands”: ectopic sebaceous glands and papillomatosis penis. Arch Dermatol 1969 Jan;99(1):31-6
    (57)Parkash S, Jeykumar S, Subramanyan K, Chaudhuri S. Human Subpreputial collection: its nature and formation. J Urol 1973 Aug 110(2):211-2
    (58) Ahmed AA, Nordlind K, Schultzberd M, Liden S. Immunohisto chemical localization of IL-1 alpha-, IL-1 beta-, IL-6- and TNF-alpha-like immunoreactivities in human apocrine glands Arch
    (59) Frohlich E Shamburg-Lever G, Klesses C. Immunelectron microscopic localization of cathepsin B in human apocrine glands. J Cutan Pathol 1993 Feb;20(1):54-60
    (60) Cohn BA. In search of human skin pheromones. Arch Dermatol 1994 Aug; 130(8):1048-51
    (61)Dermatol Res 1995;287(8):764-6Smith GL, Greenup R, Takafuji ET. Circumcision as a risk factor for urethritis in racial groups. AM J Public Health 1987 Apr;77(4):452-4
    (62) Bassett I, Donovan B, Bodsworth NJ. Male circumcision and common sexually transmissible diseases in a developed nation setting. Genitourin Med 1994 Oct;70(5):317 -20.
    (63) Bassett I, Donovan B, Bodsworth NJ, Field PR, Ho DW, jeansson S, Cunningham AL. Herpes Simplex virus type 2 infection of heterosexual men attending a sexual health sentre. Med J Aust 1994 Jun 6:160(11);697-700
    (64) Van Howe R. Does Circumcision Influence Sexually Transmitted diseases?: a literature review. BJU Int 1999 Jan;83 Suppl 1:52-62.
    (65) Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States: prevalence, prophylactic effects, and sexual Practice. JAMA 1997 Apr2;277(13):1052-7
    (66) Dickson NP, Van Rood T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. J Pediatr 2008;152:383-7.
    (67) Cook LS, Koutsky LA. Holmes KK. Clinical presentation of genital warts among circumcised and uncircumcised heterosexual men attending an urban STD clinic. Genitourin Med 1993 Aug;69(4):262-4
    (68) Van Howe, Robert S. (May 2007). “Human papillomavirus and circumcision: A meta-analysis”. Journal of Infection 54 (5): 490496.
    (69) Dinh, T.H.; M. Sternberg, E.F. Dunne and L.E. Markowitz (April 2008). “Genital Warts Among 18- to 59-Year-Olds in the United States, National Health and Nutrition Examination Survey, 19992004″. Sexually Transmitted Diseases 35 (4): 357360.
    (70) Van Howe, R.S. (January 1999). “Circucmsion and HIV infection: review of the litarature and meta-analysys”. International Journal of STD’s and AIDS 10: 816.
    (71)Amir J. et al. Circumcision and Urinary Tract Infections in Infants. Am J Dis Child (1986), vol. 140, p. 1092.
    (72)Prais D. Shoov-Furman R, Amir J. Is circumcision a risk factor for neonatal urinary tract infections? Arch Dis Child Published Online First: 6 October 2008.

  165. Regarding circumcision complications, from a review of 52 studies in 21 countries:
    “The researchers found that among infants aged less than one year old, the frequency of relatively minor adverse events such as excessive bleeding, swelling and infection was low (median 1.5% for any adverse event) and severe complications were very rare. Circumcisions by medical providers on children aged one year or older tended to be associated with more complications (median 6%), although there were still few serious adverse events.”
    http://www.sciencedaily.com/releases/2010/02/100215201610.htm

  166. HIS Body, HIS Rights, HIS Choice. Nobody has the right to cut off an important part of a child’s body, male or female, for cosmetic reasons. Baby boys are not born with a birth defect called a foreskin. God made it for a reason – and in his image – so who are we to think that we know better? After he created Man, he even said, “It is good.” Or, if you do not believe in God: Evolution designed the perfect human body, and if it was so disease-inducing and infection-prone wouldn’t it have evolved away?

  167. Anon, What emotionality driven bias could possibly drive you to defend such a barbaric ritual? Have you ever watched one? http://www.youtube.com/watch?v=013PdUzvWpo

    Would you defend FGM if you grew up in that culture?

    have you even gone threw my references? The 2-10% rate that i included is widely accepted as the most accurate and includes review of many other estimates. If male genital cutting is effective at preventing disease then there is no reason female genital cutting would not be also. Females, by design, are already more prone to contract any thing. Dont you get IT? The compulsion to circumcise came FIRST, the “reasons” later. This is a cultural ritual and not a medically necessary procedure. No official medical organization in the world recommends it. If circumcision really did prevent any thing, how come we can not observe this result in the real world?

    this is actually the largest review of the scientific literature on STDs and circumcision ever published. His conclusions are startling:

    “The medical literature does not support the theory that circumcision prevents STDs” (6)

    (6) Van Howe R. Does Circumcision? Influence Sexually Transmitted diseases?: a literature review. BJU Int 1999 Jan;83 Suppl 1:52-62.

    #

    To confirm this, the National Health and Social Life Survey conducted at the University of Chicago, found:

    “First, Circumcision status does? not appear to lower the likelihood of contracting an STD. Rather, the opposite pattern holds. Circumcised men were slightly more likely to have had both a bacterial and a viral STD in their lifetime.” (7)

    (7) Laumann EO, Masi CM, Zuckerman EW.? Circumcision in the United States: prevalence, prophylactic effects, and sexual Practice. JAMA 1997 Apr2;277(13):1052-7

    The heath benefit at best is negligible. And even a complication rate of 1.6% is still accomplishing far more harm then good.

    To no surprise the nero-anatomy of the penis was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)
    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869

  168. anon, second of all no medical authority is to say any complications are minor. This is up to the victim to decide what is a big deal. One persons nick and snip is another persons mutilation

  169. A study of evolution allows people to understand that that process has not led us to perfect bodies. Try “The Panda’s Thumb” by Gould. The foreskin is no more evidence of perfect evolution than the narrow female pelvis is.

  170. Craig, your data is dated. The AAP based its 1999 policy on older evidence; the newer evidence is why the AAP and the CDC are planning to issue new policies. From a 2010 article in the Archives of Pediatric and Adolescent Medicine:
    “Since 2005, however, 3 randomized trials have evaluated male circumcision for prevention of sexually transmitted infections. The trials found that circumcision decreases human immunodeficiency virus acquisition by 53% to 60%, herpes simplex virus type 2 acquisition by 28% to 34%, and human papillomavirus prevalence by 32% to 35% in men. Among female partners of circumcised men, bacterial vaginosis was reduced by 40%, and Trichomonas vaginalis infection was reduced by 48%. Genital ulcer disease was also reduced among males and their female partners. These findings are also supported by observational studies conducted in the United States.”
    http://archpedi.ama-assn.org/cgi/content/abstract/164/1/78

  171. Anon, I am More then familiar with those “study” i actually read all of them. again all from Africa. I can give you any number of study’s done here in the U.S. that say other wise. If the evidence has not existed for circumcision in the past then why have they been continuing the practice of circumcision? why is it that when rigours study’s suggest a benefit for female circumcision are discontinued?

    also STD’s are not relevant to children because they don’t have sex. Healthy sexual behaviour is far more effective. No benefit is a good enough reason for sexual mutilation on non consenting children.

    This policy statement was drafted by the dutch last year and they had the same access to those study except for the HPV one.
    http://knmg.artsennet.nl/Diensten/knmgpublicaties/KNMGpublicatie/Nontherapeutic-circumcision-of-male-minors-2010.htm

    The prepuce is a common anatomical structure of the male and female external genitalia of all human and non-human primates; it has been present in primates for at least 65 million years, and is likely to be over 100 million years old, based on it commonality as an anatomical feature in mammals.(1)
    Christopher j. Cold, M.D., and John R. Taylor, M.D.
    (1)Cold CJ, Taylor JR. The prepuce. BJU Int 1999 Jan;83:34-44. [here, p.34]
    Isn’t the foreskin a vestigial organ like the appendix?

    No. Fist of all, the appendix is hardly a vestigial organ. This myth was created back in the nineteenth century when medical science was to primitive to figure out the purpose of the appendix. Doctors back them were foolish enough to think that any organ whose function they were unable to understand was function-less and vestigial. Nowadays, we know the appendix to be an important part of the immune system, producing large quantities of lymphocytes and pumping them into the small intestine.

    Similarly, the myth that the foreskin is a vestigial organ was invented by circumcisers as an additional justification for imposing mass circumcision o the American people. The foreskin cannot be vestigial. The results of a fascinating study conducted by Dr. Christopher Cold and Dr. Kenneth A. McGrath demonstrate that the human foreskin in an evolutionary advancement over the foreskins of other primates. The human foreskin is far more sophisticated and responsive, as their comparative anatomy studies prove. This is seen most clearly in the evolutionary increase in corpuscular innervation and simultaneous decrease in corpuscular receptors in the human glans relative to the innervation of the foreskin and glands of lower primates (30). In other words, in monkeys and apes, the glans is more sensitive then the foreskin. In humans, this is reversed, so that the foreskin is more sensitive then the glands. If the foreskin where “vestigial”, this advancement would have never taken place and the human foreskin would be either equally or less sensitive then the ape foreskin.
    It is important to remember that there are no vestigial organs or body parts. Each and every part of the body serves a specific, important purpose. If the foreskin failed to serve a purpose it would have disappears millions of years ago. Drs Cold and Mcgrath conclude that, over the last 65 million years, the foreskin has offered reproductive advantages. It must also be remembered that sexual selection has refined the external genitalia of every creature including man. The human foreskin is the product of millions of years of evolutionary refinement.
    (30)Cold CJ, McGrath KA. Anatomy and histology of the penile and clitoral prepuce in primates: an evolutionary perspective of the specializes sensory tissue of the external genitalia. In: Denniston GC, Hoges MF, Milos FM (eds). Male and female circumcision: Medical, Legal, and Ethical Considerations in Pediatric Practice. New York: Kluwer Academic/Plenum Publishers, 1999. pp. 19-29

  172. health claims are always tailored to the fears and anxieties of the day. Circumcision has been claimed to cure epilepsy, convulsions,? paralysis, elephantiasis, tuberculosis, eczema, bed-wetting, hip-joint disease, fecal incontinence, rectal prolapse, wet dreams, hernia, headaches, nervousness, hysteria, poor eyesight, idiocy, mental retardation, insanity, strabismus, hydrocephalus, clubfoot, cancer, STDs, UTIs, ect.(13) Doctors were eager to claim that they could cure many of these aliments,conditions and diseases because there were no treatments available then. Even though all of these claims have been throughly discredited, circumcision has remained a solution in search of a problem ever since. Today’s irrational fear is HIV. This will evaporate real fast after the HIV vaccine is complete.

    (13) F. A. Hodges, “Short ?History of the Institutionalization of Involuntary Sexual Mutilation in the United States,” in G. C. Denniston and M. F. Milos, eds., Sexual Mutilations: A Human Tragedy (New York: Plenum Press, 1997), 35.

  173. these new Africa study are spear headed by doctors with a known bias like North American circumcision proponent Robert C. Bailey and Stephen Moses and North American circumcision proponent Ronald H. Gray.13 Dr. . objective researchers would have excluded themselves from participation in the study.

  174. Furthermore a recent 2007 study determined.

    “Overall, up to age 32 years, the incidence rates for all STIs were not statistically significantly different23.4 and 24.4 per 1000 person-years for the uncircumcised and circumcised men, respectively. This was not affected by adjusting for any of the socioeconomic or sexual behavior characteristics.”(8)

    (8). Dickson NP, Van Rood T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. J Pediatr 2008;152:383-7. DOI: 10.1016/j.jpeds.2007.07.044

  175. Most studies on HPV performed before 2006 had poor controls and relatively small study groups. In order to clear up this confusion, a recent 2008 study on HPV had an enormous study group of almost nine thousand men in the United States. This is currently the largest study on circumcision and HPV ever performed in the U.S. And since the study was performed in the U.S., the results are directly applicable to people who live in the U.S. They concluded:

    “The percentage of circumcised men reporting a diagnosis of genital warts was significantly higher than uncircumcised men, 4.5% (95% CI, 3.6%5.6%) versus 2.4% (95% CI, 1.5%4.0%)”.(11)

    Circumcised men where about twice as likely to have HPV! The claim that circumcision prevents cervical cancer in women is a detestable myth with sexist implications. This is based on the presumption that circumcision prevents HPV and that HPV increases the risk for both cervical cancer and penile cancer. Since this HPV claim has been thoroughly discredited, the cervical cancer myth is also now debunked. It has now been shown that circumcision increases the risk for HPV. Hence circumcision may increase the risk of both penile and cervical cancer by increasing the spread and acquisition of HPV. The practice of circumcision could very well be a contributing factor to the prevalence of HPV in the U.S.

    Nevertheless pro circumcision advocates have continued to mine for data in inapplicable communities like rural Uganda with the intent to prove that circumcision does reduce the risk for HPV. Yet, when these studies are performed they get an incredible amount of press. Why did the previous study I present not gain any publicity?

    (11)Dinh, T.H.; M. Sternberg, E.F. Dunne and L.E. Markowitz (April 2008). “Genital Warts Among 18- to 59-Year-Olds in the United States, National Health and Nutrition Examination Survey, 19992004″. Sexually Transmitted Diseases 35 (4): 357360.

  176. Anon, do you actually read any thing i post here? Did you understand why study’s from rural Africa are not applicable to populations in developed urban society’s?

    besides, HIV in the US is transmitted by needles and gay sex more frequently then just female to male. Randomized controlled trials must be conducted for homosexual sex and male to female if any body is going to recommend any thing for the U.S. these are all far more frequent in the US then female to male acquisition.

    there is consistent evidence that female-to-male HIV transmission, compared with male-to-female transmission, is much higher in Europe than in the USA …Data from the European Multicenter Partners Study and comparable research from the USA suggest that the ratio of female-to-male transmission (compared with male to female transmission) is about 10 fold higher in Europe.(21)

    Why not perform controlled short term trials to find how circumcision affects male to female transmission? If such studies where performed researchers may not find what it is they are looking for.

    The U.S. Is the only western nation with a large number active circumcised males. The prevalence of circumcision in the U.S. could possibly explain why the male to female transmission of HIV is so high. This could explain why the United States has the highest rate of HIV in the developed world, even higher then many third world nations!(22)

    (21) De Vincenzi I. Heterosexual transmission of HIV. JAMA 1992; 267: 1919.
    (22) Report on the Global HIV/AIDS Endemic. June 2000 UNAIDS, Geneva, 2000, pp. 124-132
    This is a deeply embarrassing fact for any one who pretends circumcision does prevent HIV.

  177. Craig, again, you are confusing two issues. There are more than 150 strains of HPV. A few of them cause genital warts, but they are not the same as the high risk strains that lead cells to become cancerous – in both men and women. http://www.nydailynews.com/lifestyle/health/2011/01/07/2011-01-07_circumcised_men_less_likely_to_give_hpv_to_women_lower_cervical_cancer_ris

  178. Craig, you’re not gonna get anywhere with anon– the ears are closed to reason!! I went round and round as well. Don’t waste your energy or your time. The facts are there, some will choose to make a fully-informed choice, others will masquerade their personal preferences with certain “studies” that work for them. [Sigh]

  179. Right on! I made the choice not to circ my son. I did the research and there is no medical need for it. I am not of any religion or culture that practices circumcision. I feel it is cruel and unnecessary! For those that argue about cleanliness it is no different than keeping labia’s clean. Teach your child cleanliness and he will be fine. The foreskin does not retract until age 3 to teenage years. It retracts on it’s own. No need to worry about it until then. I would not deprive my son of something he is born with and is natural. It’s there for a reason!

  180. Even if circumcision did any thing to prevent HIV and HPV it would not even matter because children don’t have sex therefore HIV and HPV is not an issue for children. Obviously this anon character has some sort of pre-established emotional bias against anatomically correct male genitalia. If female circumcision existed in our culture we would have no end of literature to support this as well. There is even study’s that claim circumcision of women are at a lower risk for HIV. ANON, if you are a women and you support circumcision so much, why don’t you get circumcised?

  181. Anon, If circumcision is so effective at preventing cervical cancer, then why is it higher in the U.S. then intact places like northern Europe? Of course the real reason is medical and cultural refinement with a focus on REAL science. Even if it did slightly reduce the risk of cervical cancer in the female would the trauma be Worth it? Would adult suicide worth it(36,37)?

    Many parents are surprised to hear that anesthetics are used in only a minority of cases.(23) The use of local anesthetics significantly drives up the costs of surgery. When anesthetics are used, they can only reduce the pain. Infants can not be given general anesthesia because of the medical risks involved. In the recent past, anesthesia was rarely used, if ever. Because of this, circumcision has always been an extremely traumatizing experience causing an array of short and long term behavioral problems, including altered perceptions, and post traumatic stress disorder (PTSD)(24,25,26,27,28,29,30,31,32,33,34,35), and a possibly self destructive behavior(36,37). Many circumcised men, some of whom are doctors, experience a strong denial of loss which in turn fuels an emotional compulsion to repeat the trauma to normalize their loss.(38,39,40,41,42)

    (23)Stang , M.J., & Snellman, L.W. (1998). Circumcision practice patterns in the United States. Pediatrics, 101(6)
    (24)Gunnar MR, Fisch RO, Korsvik S, Donhowe JM. The effects of circumcision on serum cortisol and behavior. Psychoneuroendocrinology 1981; 6(3):269-75.
    (25) Porter FL, Miller RH, and Marshal RE. Neonatal pain cries: effect of circumcision on acoustic features and perceived urgency. Child Dev 1986;57:790-802.
    (26) Gunnar MR, Connors J, Isensee, Wall L. Adrenocortical activity and behavioral distress in human newborns. Dev Psychobiol 1988;21(4):297-310.
    (27) Anders TF, Chalemian RJ. The effects of circumcision on sleep-wake states in human neonates. Psychosom Med 1974;36(2):174-9.
    (28) Marshall RE, Stratton WC, Moore JA, et al. Circumcision I: effects upon newborn behavior. Infant Behavior and Development 1980;3:1-14.
    (29) Marshall RE, Porter FL, Rogers AG, et al. Circumcision: II effects upon mother-infant interaction. Early Hum Dev 1982; 7(4):367-74.
    (30) Lee N. Circumcision and breastfeeding. J Hum Lact 2000;16(4):295.
    (31) Anand KJS, Hickey PR. Pain and its effects in the human neonate and fetus. New Engl J Med 1987;317(21):1321-9.
    (32) Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol 2002;7(3):329-43.
    (33) Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 1997;349(9052):599-603.
    (34)LaPrairie Jamie L. Murphy Anne Z. Neonatal Injury Alters Adult Pain Sensitivity by Increasing Opioid Tone in the Periaqueductal Gray. Front Behav Neurosci 30 September 2009.
    (35) Rhinehart J. Neonatal circumcision reconsidered. Transactional Analysis J 1999;29(3):215-21.
    (36) Van der Kolk BA, Perry JC, Herman JL. Childhood origins of self-destructive behavior. Am J Psychiatry 1991; 148;1665-71.
    (37) Jacobson B, Bygdeman M. Obstetric care and proneness of offspring to suicide. BMJ 1998; 317:1346-49.
    (38) Van der Kolk BA. The compulsion to repeat the trauma: re-enactment, revictimization, and masochism. Psychiatr Clin North Am 1989;12(2):389-411.
    (39) Goldman R. The psychological impact of circumcision. BJU Int 1999;83 Suppl. 1:93-103.
    (40) Maguire P, Parks CM. Coping with loss: surgery and loss of body parts. BMJ 1998;316(7137):1086-8.
    (41)Hill G. The case against circumcision. J Mens Health Gend 2007;4(3):318-23
    (42)Goldman R. Circumcision policy: a psychosocial perspective. Paediatr Child Health 2004;9(9):630-3.

  182. Its just ridiculous to dismiss proven trauma, complications, and lost sexual functioning( the most sensitive parts of the penis are lost)to an off chance of HPV and HIV prevention for activity your son may not even engage in.

  183. Are anesthetics used in circumcision? Why yes. Just ask Dr. Sears, author of The Baby Book, who discusses it on his website.

    Q: “Can baby have anesthesia to lessen the pain?”

    A: “Yes, a local anesthetic can and should be used. Painless circumcision should be a birthright. I have used a local anesthesia in nearly a thousand babies for over twenty years. It is a safe procedure and it works. Sometimes the anesthetic will not remove all the pain, but it certainly helps. Within a few hours, after the anesthetic wears off, some babies exhibit no discomfort; others will fuss for the next twenty-four hours. The most common and effective method is called a dorsal penile nerve block, in which a few drops of Xylocaine (similar to the anesthetic your dentist uses) is injected into the nerves on each side of the penis circumferentially around the base of the penis.”
    http://www.askdrsears.com/html/10/t101500.asp

  184. anon, it really doesn’t matter what this One singe doctors does. fact is, it is only used in a minority of the cases. And almost never in the 80′s. Good job whit the usual hyperbolic news articles tho.

  185. anon, local anesthetic is still not perfect and can only dull pain during surgery and not later. An adult could be given general anesthetic and pain meds.The advantages of consenting adult circumcision over baby circumcision are OBVIOUS.

  186. anon, will you be able to disprove the functions of the foreskin? What is the foreskin? is a question that many Americans would have trouble answering. Information about the foreskin is virtually absent during discussions of anatomy in biology classrooms, and yet, the foreskin provides a well-documented set of crucial sensory, protective, immunological, hygienic, and sexual functions. The foreskin is a double fold of skin that is twice as big as its appearance. It can make up to 80% or more of the penile skin covering, and includes around 12-20 square inches of skin (the size of a 3×4 or a 4×5 index card!), and in turn includes a specialized sheet of dartos muscle(43,45). One of the functions of this mobile skin system is to glide up and down the shaft of the penis in order to facilitate non-abrasive stimulation during sexual activity without any need for artificial lubricant. This frictionless gliding mechanism is the principal source of stimulation for the intact penis and facilitates non-abrasive intercourse.

    The neuro-anatomy of the penis has been rigorously studied by respected anatomists of all kinds. The component tissues that comprise the foreskin are richly innervated with the greatest quantity and variety of sensory nerve endings than any other part of the penis.(44,45,46,47,48,49,50,51,52) Many people are surprised to discover that the glans or head of the penis is actually the least sensitive part.(45,51,52)

    To no surprise, this information was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    (43) See photographic series in: lander MM. The Human prepuce. In: Denniston GC, Milos MF (eds). Sexual Mutilations: a human Tragedy. New York: Plenum Press; 1997. pp.79-81
    (44) Moldwin RM, Valderrama E. Immunohistochemical analysis of nerve fistribution patterns within preputial tissues. J Urol 1989 Apr;141(4):499A. (abstract)
    (45) Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized musocsa of the penis and its loss to circumcision. Br J Urol 1996 Feb;77(2): 291-5
    (46) Dogiel AS. Die Nervenendigungen in der Haut der ausseren Genitalorgane des Menschen. Archiv fur Mikroskopische Anatomie 1893:41:585-612
    (47)Bazett HC, McGlone B, Williams RG, Lufkin HM. Depth, distribution and probable identification in the prepuce of sensory end-organs concerned in sensations of temperature and touch; thermometric conductivity. Archives of Neurology and psychiatry 1932 Mar; 27(3):489-517
    (48) Ohmori D. Uber die Entwicklung der Innervation der Genitalapparate als peripheren Aufnahmeapperat der Genitalen Reflexe. Zeitschrift fur Anatomie und Entwicklungsgeschichte 1924;70(1):347-410.
    (49)Halata Z, Munger BL. The neuroanatomical basis for the protopathic sensibility of the human glans penis. Brain Res 1986 Apr23;371(2):205-30.
    (50)Winkelmann RK. The Cutaneous Innervation of the human newborn prepuce. Invest Dermatol 1956 Jan;26(1):53-67
    (51)Winkelmann RK. The erogenous zones: their nerve supply and its significance. Proceedings of the staff meetings of the Mayo Clinic 1959 Jan21(2):39-47
    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869

  187. I don’t think Dr. Sears is alone in using anesthesia during circumcision. The American Academy of Pediatricians has recommended anesthetic for circumcision since 1999. A 2006 survey showed that 97 percent of the doctors in training for pediatrics, family practice and OB/GYN are taught effective pain relief techniques for circumcision during their residencies.
    http://www.cbsnews.com/stories/2006/07/20/health/webmd/main1823112.shtml
    What did or didn’t happen in the 80s probably doesn’t matter as much to parents as what happens today.

  188. Anon, can you manage a single pier reviewed publication from a medical journal, and not a news article?. And you have yet to answer this question.” will you be able to disprove the functions of the foreskin?”

  189. Anon, News articles mean nothing, i require the actual publication so that it can be read AND you can see the study group. Also that news article merely states that they are thought to use it, they don’t mention weather or not it is actually used.

  190. I can say based on personal experience, and everyone I know, that local anesthetic shots hurt! That alone must be traumatizing to an infant that just experienced childbirth! Face it anon, you are trying to back your cosmetic choice with medical hyperbole that none of us who’ve done our research are buying in to!
    And Craig is right, it’s not used as often as you believe. Many physicians use the sugar water on the pacifier tactic borrowed from Mohls that use brandy on a washcloth. Yeah, divert the newborns attention with some sugar– give them some straight processed sugar within days of birth!

  191. When I think about how the dentist moves that novacaine needle around my mouth to make sure he gets all the nerve endings and try to imagine a physician doing that to the end of my son’s penis just after he’s born?! For what? So he can “look like everyone else?!” No medical data to support the necessity of this procedure on infants. None.

  192. Straight from the Mayo Clinic Website: Why it’s done
    By Mayo Clinic staff

    Circumcision is a religious or cultural ritual for many Jewish and Islamic families, as well as certain aboriginal tribes in Africa and Australia. Circumcision can also be a matter of family tradition, personal hygiene or preventive health care. Sometimes there’s a medical need for circumcision, such as when the foreskin is too tight to be retracted over the glans. In other cases, particularly in certain parts of Africa, circumcision is recommended for older boys or men to reduce the risk of certain sexually transmitted infections.

    The American Academy of Pediatrics (AAP) policy statement on newborn circumcision says the benefits of circumcision aren’t strong enough to recommend routine circumcision for all male newborns. The AAP leaves the circumcision decision up to parents and supports use of anesthetics for infants who have the procedure. Risks
    By Mayo Clinic staff

    Circumcision poses various risks, including:

    * Surgical pain
    * Side effects related to anesthesia, particularly if general anesthetics are used
    * Excessive bleeding
    * Infection

    Foreskin problems are possible as well. For example:

    * The foreskin may be cut too short or too long
    * The foreskin may fail to heal properly
    * The remaining foreskin may reattach to the end of the penis, requiring minor surgical repair
    So, there’s a Risks page, but not a Benefits page, why? Because there really aren’t any!

  193. Intactivist, as you (and presumably the author of this article) already know, both the C.D.C. and the American Academy of Pediatrics have been reviewing the new scientific evidence on circumcision with an eye to issuing new policy recommendations.
    Again, from the New York times last August, “Officials from the pediatrics academy said its new policy would be issued by early 2011; a task force that studied the topic has completed its report, which is being reviewed by several other committees, said Dr. Michael Brady, chairman of pediatrics at Nationwide Childrens Hospital in Columbus, Ohio, who served on the task force. The academy is likely to adopt a more encouraging stance than its current neutral position and to state that the procedure has health benefits beyond H.I.V. prevention, Dr. Brady said. The World Health Organization in 2007 endorsed male circumcision as an important intervention to reduce the risk of heterosexually acquired H.I.V. http://www.nytimes.com/2010/08/17/health/research/17circ.html?_r=1&scp=2&sq=infant%20circumcision&st=cse

    0

  194. And, as you know, the AAP started the process for changing its policy because it based its 1999 policy on dated evidence; the new evidence is why the AAP and the CDC are planning to issue new policies. From a 2010 article in the Archives of Pediatric and Adolescent Medicine: “Since 2005, however, 3 randomized trials have evaluated male circumcision for prevention of sexually transmitted infections. The trials found that circumcision decreases human immunodeficiency virus acquisition by 53% to 60%, herpes simplex virus type 2 acquisition by 28% to 34%, and human papillomavirus prevalence by 32% to 35% in men. Among female partners of circumcised men, bacterial vaginosis was reduced by 40%, and Trichomonas vaginalis infection was reduced by 48%. Genital ulcer disease was also reduced among males and their female partners. These findings are also supported by observational studies conducted in the United States.” http://archpedi.ama-assn.org/cgi/content/abstract/164/1/78

    The work on changing the policy began even before the latest findings that circumcision can help keep women from getting the high risk strains of HPV that can lead to invasive cervical cancer. http://www.nlm.nih.gov/medlineplus/news/fullstory_107392.html

  195. Also, if you care to glance at what you posted one more time, you’ll see that one of the Mayo Clinic’s listed reasons for circumcision is “preventive health care.”

  196. Anon, study’s from rural Africa can NOT be extrapolated to the U.S. , EVERY body knows this. That ones persons quote is NOT what the AAP will actually say. The media has NEVER been known to be a reliable source of information. unlike studies form Africa Plenty of new EMPIRICAL evidence has been published that will not support circ.

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    (52)Morris L. Sorrells, James L. Snyder. Fine-touch pressure thresholds in the adult penis . BJU 2006 Oct:22, pp. 864-869

    Google this study and read it. I doubt circumcision advocate Michael Brady, a person with a known bias, has even read this study.

  197. HIV

    Of all the accusations levelled against the human foreskin none warrant a closer examination then HIV. In order to defend the circumcision industry from its now eminent decline, circumcision advocates have sought to manipulate our fears of a slow and plain-full HIV/AIDS related death.

    Lower socioeconomic minorities are more often intact and usually have a greater number of sexual partners. Most men who have contracted HIV are suffering the consequences for a life time of poor decision making. HIV is almost always contracted by homosexuals who have engaged in continuous promiscuous activity, and/or homeless men who have engaged in a life time of drug use and promiscuous sexual activity.

    All studies have repeatedly shown that number of sexual partners generates the biggest increase in STD infection risk. Therefore comparing a circumcised upper class and an intact lower class or comparing circumcised African Muslims to intact African Non-Muslims, is inapplicable because of the significant difference in hygienic and sexual behavior which affect the results far more then circumcision status which in turn is also related to tribal affiliation. Studies performed in Africa could never be extrapolated to populations in the U.S., because of the drastically different culture. Pro-circumcision studies taken from rural Africa routinely and deliberately neglect these plain and obvious flaws during their data mining operations in rural Africa.

    Yet, time and time again, researchers who actually value science have sought to correct these flawed assessments. For every study that claims a benefit there is another if not more studies that found no benefit.

    A 1999 meta-analysis on HIV concluded :

    …on the 29 published articles where data were available. When the raw data are combined, a man with a circumcised penis is at greater risk of acquiring and transmitting HIV than a man with a non-circumcised penis [...]Based on the studies published to date, recommending routine circumcision as a prophylactic measure to prevent HIV infection in Africa, or elsewhere, is scientifically unfounded.”(12)

    Since homosexuals are one of the biggest proliferators of HIV in the U.S. it is important to determine what effect HIV has on the homosexual transmission of HIV.

    A 2008 meta-analysis of 15 observational studies, including 53,567 gay and bisexual men from the United States, Britain, Canada, Australia, India, Taiwan, Peru and the Netherlands (52% circumcised), stated that the rate of HIV infection was non-significantly lower among men who were circumcised compared with those who were uncircumcised.(13)

    The flaws with these new Randomized Controlled Trials.

    Why go to Kenya(14), Uganda(15), and Sub-Saharan Africa(16) to perform randomized controlled trials(RCTs) on circumcision and HIV? These are some of the only countries in Africa where circumcised communities have a lower prevalence of HIV(17). Hard-line circumcision advocates with and known bias, know this, and they are exploiting the cultural differences in these communities that cause intact communities to acquire HIV more often. This is how they are mining the data they need to promote their agenda. When actually reviewing pro-circumcision studies from rural Africa, there are obvious flaws in methodology can not be denied. Here are just some of the variables that where deliberately not controlled for in almost all studies used to claim that circumcision prevents HIV.

    1)The time needed for healing for those circumcised before the trial was initiated means less exposure time.
    2)Rates of exposure for each group with in their separate communities. In these particular places circumcised men have less exposure to HIV due to separation their respective communities experience.
    3)Dry sex is A practice that is common in many of these communities. It entails drying the vagina with dirt, sand, dried leaves, corn meal, or powders to absorb lubrication. This practice is unsanitary and causes lesions and other entry points that increase risk for STD transmission.(18)
    4)Genital warts and ulcers re-occurrence, how they were treated, the final efficacy of that particular treatment (Excision or chemical). And the irresponsible sexual behavior on both men(19) and prostitutes while afflicted with genital ulcer disease(GID)(20). GUD is an endemic in parts of Africa.
    5)Female circumcision: where male circumcision exists female circumcision usually exists as well.
    6)Anal sex
    7)Homosexual sex
    8)The accuracy of the tests to determine rates of false or negative determinations
    9)The time needed to manifest all seroconversions
    10)In the case of these new RCTs any chance of a follow-up was lost because the test was stopped early and all subjects were circumcised.
    11)Equal amount of “safe-sex counseling” for both groups

    Some of these new short term studies, determined that circumcised significantly less likely to acquire HIV then genitally intact men. This does not mean this benefit exists in the real world. Repeat exposure to partners with HIV will eventually lead to the acquisition of HIV. If the real world reduction was significant we would see a significant difference among intact and circumcised populations, when in reality we do not see any clear association. The conductors of these studies took a quick snap shot of the data before the results turned on them and then circumcised all study participates so that a follow-up survey could not be performed. If they tried to present this to any reputable organization who wished to maintain scientific integrity, they would be laughed out of the room, as they have. Attributing the results of their tests to anatomically correct male genitalia is not only ludicrous but plainly irrepressible. What we have here are studies performed in an abstracted theoretical situation. This theoretical situation is unrealistic and does not represent real world situations. In the real world people are sexually active for more then twelve or twenty months of their life. In the real world people would not wear a condom that is only marginally effective. The only thing that can prevent HIV is safe sex or abstinence.

    What about male to female HIV transmission?
    there is consistent evidence that female-to-male HIV transmission, compared with male-to-female transmission, is much higher in Europe than in the USA …Data from the European Multicenter Partners Study and comparable research from the USA suggest that the ratio of female-to-male transmission (compared with male to female transmission) is about 10 fold higher in Europe.(21)

    Why not perform controlled short term trials to find how circumcision affects male to female transmission? If such studies where performed researchers may not find what it is they are looking for.

    The U.S. Is the only western nation with a large number active circumcised males. The prevalence of circumcision in the U.S. could possibly explain why the male to female transmission of HIV is so high. This could explain why the United States has the highest rate of HIV in the developed world, even higher then many third world nations!(22)

    (13)Millett GA, Flores SA, Marks G, Reed JB, Herbst JH (October 2008). “Circumcision status and risk of HIV and sexually transmitted infections among men who have sex with men: a meta-analysis”. JAMA 300 (14): 167484. doi:10.1001/jama.300.14.1674. PMID 18840841. http://jama.ama-assn.org/cgi/content/short/300/14/1674.
    (14)Bailey RC, Moses S, Parker CB, et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet. 2007 Feb 24;369(9562):643-56.
    (15)Gray RH, Kigozi G, Serwadda D, et al. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet. 2007 Feb 24;369(9562):657-66.
    (16)Auvert B, Taljaard D, Lagarde E, Sobngwi- Tambekou J, Sitta R, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med. 2005 Nov;2(11):e298. Erratum in: PLoS Med. 2006 May;3(5):e298.
    (17)Vinod Mishra, Rathavuth Hong, and Yuan Gu, and Amy Medley and Bryant Robe . Levels and spread of HIV seroprevalence and associates factors: evidence form national household surveys. USAID 2009 Feb; 51-53
    (18) Runganga A, Pitts M, McMaster J. The use of herbal and other agents to enhance sexual experience. Soc Sci Med 1992 Oct;35 (8):1037-42.
    Runganga AO, Kasule J. The Vaginal use of herbs/substances; an HIV transmission facilitatory factor? AIDS Care 1995;7(5):639-45.
    Sandala L, Lurie P, Sunkutu MR, Chani EM, Hudes ES, Hearst N. Dry sex and HIV infection among women attending a sexually transmitted disease clinic in Lusaka Zambia. AIDS 1995 Jul;9 Suppl 1:s61-8
    Brown JE, Ayowa OB, Brown RC. Dry and tight: sexual practices and potential AIDS risk in Zaire. Soc SCI Med 1993 Oct;37(8):989-94
    Dallabetta GA, Miotti PG, Chip hangwi JD, Liomba G, Canner JK, Saah AJ. Traditional vaginal agents: use and association with HIV infection in Malawian women. AIDS 1995 Mar;9(3):239-7.
    Gresenguet G, Kriess JK, Chapko MK, Hillier SL, Weiss NS. HIV infection and vaginal douching in central Africa. AIDS 1997 Jan;(1):101-6.
    Baleta A. Concern voiced over dry sex practices in South Africa. Lancet 1998 Oct 17;352(9136):1292
    Beksinska ME, Rees HV, Kleinschmidt I, McIntyre J. the practice and prevalence of dry sex among men and women in South Africa: a risk factor for sexually transmitted infections? Sex Transm infect 1999 Jun;75(3):178-80
    (19) Peoin J, Quigley M, Todd J, Gaye I, Janneh M Van DyckE, Piot,P, Whittle H. Association between HIV-2 infection and genital ulcer diseases among male sexually transmitted diseases patients in the Gambia. AIDS 1992 May;6(5):489-93.
    OFarrell N, Hoosen AA, Coetzee KD, van den Ende J. Sexual behavior in Zulu men and women with genial ulcer disease. Genitourin Med 1992 Aug;68(4):245-8.
    De Vincenzi I Mertens T. Male circumcision: a role in HIV prevention? AIDS 1994 Feb;8(2)
    (20)Kaul R, kimani J, Nagelkerke NJ, Plummer FA, Bwayo JJ, Brunham RC, Ngugi EN, Ronald A. Risk factors for genital ulcerations in Kenyan sex workers: the role of human immunodeficiency virus type 1 infection. Sex Transm Dis 1997 Aug;24(7):387-92
    (21) De Vincenzi I. Heterosexual transmission of HIV. JAMA 1992; 267: 1919.
    (22) Report on the Global HIV/AIDS Endemic. June 2000 UNAIDS, Geneva, 2000, pp. 124-132
    This is a deeply embarrassing fact for any one who pretends circumcision does prevent HIV.
    Circumcision to prevent penile cancer?

  198. O, and it is very important not to forget this RANDOMIZED CONTROLLED TRIAL ON FEMALE ACQUISITION OF CIRCUMCISED SEXUAL PARTNERS.
    “17 (18%) women in the intervention group and eight (12%) women in the control group acquired HIV during follow-up (p=0·36)”(1)

    WOMEN WHERE 50% MORE LIKELY TO CONTRACT HIV!!!!!!!!!!!!!!!!!! Why is this not in the news? And woman always contract HIV more frequently!

    (1)Circumcision in HIV-infected men and its effect on HIV transmission to female partners in? Rakai, Uganda: a randomized controlled trial. The Lancet, Volume 374, Issue 9685, Pages 229 – 237, 18 July 2009

  199. Regarding the implication that women are more likely to get HIV from circumcized men, the CDC points out that this was observed only at one site in Uganda and only in cases where HIV positive men started having sex with their female partners again BEFORE the circumcision wound healed. (If an adult with HIV has an unhealed wound on their penis and puts it inside their partner’s body, this seems a logical result.) The CDC notes this did not happen in a previous circumcision study in Uganda – which in fact showed a protective effect of circumcision for the female partners of men with lower viral loads.
    http://www.cdc.gov/hiv/resources/factsheets/circumcision.htm

  200. anon is a hopeless case. You don’t read thoroughly anything anyone else posts and you continue to cite the same articles over and over as well as the three studies that were performed in Africa which aren’t relevant here, except to say that we have a high rate of circumcision here and the spread of HIV is unchanged. Every single person I know that has ever had an STD or is HIV positive or died of AIDS has been circumcised or only been with circumcised partners! Also, the Mayo Clinic siting one reason as “preventative health care” is so broad. Assume what you want from it, to me, it sounds like a protective statement more than a claim that is prevents STD’s, especially considering EVERYTHING else they wrote there! Do us all a favor and read the stuff Craig has posted here!

  201. I AM AGAINST CIRCUMCISION BECAUSE I AM HAPPY WITH THE WAY MY BABY BOY WAS BROUGHT INTO THIS WORLD. HE WAS A GIFT FROM GOD AND WE SHOULDNT CHANGE THAT. PLUS IT IS PAINFUL TO HURT A BABY IN THAT WAY.

  202. I AM AGAINST CIRCUMCISION TOTALLY. I AM HAPPY WITH THE WAY MY BABY BOY WAS BROUGHT INTO THIS WORLD. HE WAS A GIFT FROM GOD AND WE SHOULDNT CHANGE THAT. PLUS IT IS PAINFUL TO HURT A BABY IN THAT WAY.

  203. anon, wouldn’t that flaw exist for the RCTs as well?. The RCTS are ridiculous first of all became circumcision is a serious injury and they can not be expected to continue normal sexual behaviour right after getting circumcised.Sexual behaviour effects the risk of HIV by many orders of magnitude more then circumcision. If the trial continued longer then 20 months you would probably see no difference at all. They assume that the healing time and the change in sexual behaviour is negligible when in fact that is the biggest problem! Besides we can not institute circumcision for HIV prevention until we rigorously see what it does to the female acquisition and homosexual sex especially since both of these are much higher then male acquisition.

  204. Circumcision makes sex more abrasive.(1) And we know that vaginal abrasion increases HIV acquisition based on the results of countless study’s on the use of dry sex. Numerous cultural differences like dry sex, poor hygiene, lack of bathing water, Unprecedented levels of viral loads people experience in Africa where STD’s of all kinds are an endemic, make study’s performed in Africa inapplicable to people in the U.S. These are not the type of life styles American have.

    Dry sex is A practice that is common in many of these communities. It entails drying the vagina with dirt, sand, dried leaves, corn meal, or powders to absorb lubrication. This practice is unsanitary and causes lesions and other entry points that have been proven to increase risk for STD transmission.(18)

    K. O’HARA and J. O’HARA. The effect of male circumcision on the sexual enjoyment of the female partner. BJU INTERNATIONAL, Volume 83, Supplement 1, Pages 79-84,
    January 1, 1999. http://www.cirp.org/library/anatomy/ohara/

    (18) Runganga A, Pitts M, McMaster J. The use of herbal and other agents to enhance sexual experience. Soc Sci Med 1992 Oct;35 (8):1037-42.
    Runganga AO, Kasule J. The Vaginal use of herbs/substances; an HIV transmission facilitatory factor? AIDS Care 1995;7(5):639-45.
    Sandala L, Lurie P, Sunkutu MR, Chani EM, Hudes ES, Hearst N. Dry sex and HIV infection among women attending a sexually transmitted disease clinic in Lusaka Zambia. AIDS 1995 Jul;9 Suppl 1:s61-8
    Brown JE, Ayowa OB, Brown RC. Dry and tight: sexual practices and potential AIDS risk in Zaire. Soc SCI Med 1993 Oct;37(8):989-94
    Dallabetta GA, Miotti PG, Chip hangwi JD, Liomba G, Canner JK, Saah AJ. Traditional vaginal agents: use and association with HIV infection in Malawian women. AIDS 1995 Mar;9(3):239-7.
    Gresenguet G, Kriess JK, Chapko MK, Hillier SL, Weiss NS. HIV infection and vaginal douching in central Africa. AIDS 1997 Jan;(1):101-6.
    Baleta A. Concern voiced over dry sex practices in South Africa. Lancet 1998 Oct 17;352(9136):1292
    Beksinska ME, Rees HV, Kleinschmidt I, McIntyre J. the practice and prevalence of dry sex among men and women in South Africa: a risk factor for sexually transmitted infections? Sex Transm infect 1999 Jun;75(3):178-80
    Nyirenda MJ. A study of the behavioural aspects of dry sex
    practice in urban Lusaka. Int Conf AIDS 1992;8:D461

    Van de Wijgert J, Mason PR, Ray CS, et al. Use of intravagi-
    nal preparations, presence of lactobacillus in the vagina,
    and risk for HIV in Zimbabwean women. Int Conf AIDS
    1996;11:34 (abstract no MoC 223).

    Morar NS, Karim SS. Vaginal insertions and douching
    practices among sex workers at truck stops in KwaZulu-
    Natal. South Afr Med J 1998;88:470.

    Civic D, Wilson D. Dry sex in Zimbabwe and implications
    for condom use. Soc Sci Med 1996;42:918.

    Hira SK, Mangrola UG, Mwale C, et al. Apparent vertical
    transmission of human immunodeficiency virus type 1 by
    breast-feeding in Zambia. J Pediatr 1990;117:4214.

    Mann JM, Nzilambi N, Piot P, et al. HIV infection and asso-
    ciated risk factors in female prostitutes in Kinshasa, Zaire.
    AIDS 1988;2:24954.

    Irwin K, Mibandumba N, Mbuyi K, et al. More on vaginal
    inflammation in Africa. N Engl J Med 1993;328:8889.

    Mbizvo MT, Chipato T, Mashu A, et al. Trends in HIV-1
    prevalence and risk factors in pregnant women measured
    by clinic on-site testing and laboratory confirmation in
    Harare, Zimbabwe. Int Conf AIDS 1996 (abstract no MoC
    1485).

    Jinju M, St Louis ME, Mbuyi K, et al. Risk factors for heterosexual HIV transmission: a case-control study among
    married couples concordant and discordant for HIV-1
    infection. Int Conf AIDS in Africa. Dakar, December 1991
    (abstract no TO 105).

  205. anon, second of all there is no evidence that study participants where having sex before the wound healed. It was merely presumed by researchers with a proven bias, to explain away the results they got that they dident want. read this publication.
    circumcision increases vaginal abrasion and STDs of all kinds transfer easily as a result from vaginal abrasion.(1)

    1)K. O’HARA and J. O’HARA. The effect of male circumcision on the sexual enjoyment of the female partner. BJU INTERNATIONAL, Volume 83, Supplement 1, Pages 79-84, January 1, 1999. http://www.cirp.org/library/anatomy/ohara/

  206. there is consistent evidence that female-to-male HIV transmission, compared with male-to-female transmission, is much higher in Europe than in the USA …Data from the European Multicenter Partners Study and comparable research from the USA suggest that the ratio of female-to-male transmission (compared with male to female transmission) is about 10 fold higher in Europe.(22)
    IT IS MORE THEN POSSIBLE THAT ABRASIVE SEX DUE TO CIRCUMCISION IS RESPONSIBLE FOR THIS!.
    (22) De Vincenzi I. Heterosexual transmission of HIV. JAMA 1992; 267: 1919.

  207. Anon, it is interesting how flaws that skew the results in favour of circumcision are not mentioned why flaws that disprove a benefit are always mentioned.

    the following is from an excellent article that i recommend you read. http://knol.google.com/k/circumcision-and-human-behavior#

    The high proportion of circumcised males in the medical community create a distorted, biased medical literature.[47] Goldman (1999) writes:

    “One reason that flawed studies are published is that science is affected by cultural values. A principal method of preserving cultural values is to disguise them as truths that are based on scientific research. This ‘research’ can then be used to support questionable and harmful cultural values such as circumcision. This explains the claimed medical ‘benefits’ of circumcision.”[31]

    Hill (2007) writes:

    “The medical literature on circumcision is voluminous and contentious. Circumcised doctors create papers that overstate benefits and minimize harms and risks. When these doctors publish such claims, other doctors come forward to refute them….The result is an unending debate driven by the emotional compulsion of circumcised men.”[43]

    (47) Fleiss PM. An analysis of bias regarding circumcision in American medical literature.In: Denniston GC, Hodges FM, Milos MF. (eds) Male and Female Circumcision: Medical, Legal, and Ethical Consideratons in Pediatric Practice. New York: Kluwer Academic/Plenum Publishers, 1999: pp. 379-402.

    (31)Goldman R. The psychological impact of circumcision. BJU Int 1999;83 Suppl. 1:93-103.

    (43)Hill G. The case against circumcision. J Mens Health Gend 2007;4(3):318-23.

  208. *correction * flaws that disprove a benefit are never mentioned.

  209. @Craig– not to go off topic but I just have to say “ouch!” at the thought of the dry sex practice!

  210. Circumcision is a choice for parents. Just as other things in your child’s life are your choice until they become of age. We can look back as adults and say “well I wish I’d be given the chance to choose such and such” but it doesn’t always work that way. It was good enough for God’s chosen people so I don’t see why it wouldn’t still be good enough for us today. Hair grows and we could all go without a haircut and say I want to stay in tack or with any other part of our bodies that we alter…as for being traumatizing, I’m pretty sure the last thing on my four year old circumcised godson is his penis not having its foreskin.

  211. If parents think it is in their baby sons best interests to mutialte them then so be it. In fact why not mutilate their baby daughters also so there is no sexual discrimination. Yes, I am being very sarcastic, circumcision is barbaric in my opinion.

    Ms Tish – Well there aren’t too many sexually active 4yo children are there. Hair grows back, I didn’t know foreskins did as well. It is your decision if you prefer to take the word of a book over how god presents his own creation?

  212. @Mis Tish

    Circumcision in Christianity

    If you are a Christian, you are entirely free of any religious reasons for circumcision. In fact, historically, Christians have been specifically forbidden to practice circumcision. I suspect that when some misinformed Christians imagine they have a religious reason for circumcision their children, they are really just grasping for additional excuses to follow the false medical indoctrination they have received their entire lives.
    Christians who mistakenly think that they have religious justification for circumcision ought to read the new testament. Here it is clear that the early Christian church, under the guidance of ST. Paul, abolished circumcision. Throughout his epistles, St. Paul took every opportunity to condemn circumcision, as the following quotations prove:

    Behold, I, Paul, tell you that if you be circumcised, Christ will be of no advantage to you.(Galatians 5:2)

    And even those who advocate circumcision don’t really keep the whole law. They only want you to be circumcised so that can brag about it and claim you as their disciples. (Galatians 6:13)

    For there are many who rebel against right teaching; they engage in useless talk and deceive people. This especially true for those who insist on circumcision for salvation. They must be silenced. By their wrong teaching, they have already turned whole families away from the truth. Such teachers only want your money(Titus 1:10-11)

    It is true that Jesus was probably circumcised, but this is because his parents were Jews. Jesus was denied any choice in the matter. Besides, Christians are hardly required to copy every thing that happened to Jesus. Jesus never advocated circumcision. After, all the earliest Christians– ones who actually walked with Jesus– abolished circumcision:

    His disciples said to him: is circumcision useful or not? He said to them: If it were useful, their father would beget them from the mother (already) circumcised. But the true circumcision in the Spirit has proved useful in every way.(2)

    The founders of Christianity believed that God himself condemned circumcision as a blasphemy invented by foolish men. The New Testament Apocryphal Book of Esra reports the word of God, which came to Esra, the son of Chusis, I the days of Nebuchadnezzar thus:

    when you bring offerings to me, I will turn my face from you; for your feasts and new moons and circumcisions of the flesh I have not asked(3)

    Early Christians took the abolition of circumcision very seriously, and the early Church quickly passed laws banning circumcision under the penalty of death. The original church laws against circumcision read:

    Roman citizens, who suffer that they themselves of their slaves be circumcised in accordance with Jewish custom, are exiled perpetually to an island and their property confiscated; the doctors suffer capital punishment. If Jews shall circumcise purchased slaves of another nation, they shall be banished or duffer capital punishment(4)

    The Church was also very concerned about Jews circumcising Christians or citizens of any other sect. Consequently, they passed laws protecting people from such an assault. The Church law states:

    Jews who circumcise a Christian or commit him to be circumcised, their property shall be confiscated and they shall be perpetually banished.(5).

    All forms of sexual mutilation– both circumcision and castration– have been banned by the Church as insults to God. According to the teachings of the early church, circumcision is blasphemy because it implies that God made a mistake when he created the human body. The Apostolical Cannons of the Church state

    Canon XXII
    He who has mutilated himself, cannot become a clergy man, for he is a self-murder, and enemy to the workmanship of god.

    Canon XXIV
    If a layman mutilate himself, Let him be excommunicates for three years, as practicing against his own life.(6)

    The enlightened holy men who worked hard to establish, spread and safeguard Christianity strongly condemned circumcision. There where the early Fathers of the Church, such as St. Augustine, who wrote:

    Accordingly, when you ask why a Christian is not circumcised if Christ came not to destroy the lay, but to fulfill it, my reply is that a Christian is not circumcised precisely for this reason, that what was prefigured by circumcision is fulfilled in Christ. Circumcision was the type of removal of our fleshy nature, which was fulfilled in the resurrection of Christ, and which the sacrament of baptism teaches us to look forward to in our own resurrection. The sacrament of the new life is not wholly discontinued, for our resurrection from the dead is still to come; but this sacrament been improved by the substitution of baptism for circumcision, because now a pattern of the eternal life which is to come is afforded us in the resurrection of Christ, wear as formerly there was noting of the kind.(7)

    The other great Church Fathers, Such as St. Cyril(8), St. Jerome(9), John Chrysostom(10), St John of Damascus(11), St. Justin Martyr(12), Lectantius(13), Origen(14), Tertullian(15), and St. Ambrose(16), Reaffirmed the ban on circumcision for Christians. Origen said quite plainly:

    The rite of circumcision… which began with Abraham.. was discontinued by Jesus who desired that His Disciples should not practice it(17).

    Speaking of circumcision, St. Ambrose wisely observed:

    Nature has created nothing imperfect in man, nor has she bade it be removed as unnecessary(18).

    Over the centuries, the Catholic Church has passes many laws banning circumcision of children and adults(19). Martin Luther Preached against circumcision on many occasions(20). Even more recent branches of Christianity have taken a firm stand against circumcision. For instance, the holiest scriptures of the Mormons, the Book of Mormon(21) and the Doctrine and Covenants(22), both condemn and forbid circumcision. Thus, the traditional Christian response to circumcision has been to reject it as an insult to the wisdom of God in designing the human body.

    Further Regarding Judaism

    If a Jew was circumcised in a hospital as many are today: do you think they should be denied the right to a religious circumcision? A consenting adult who has reviewed their faith could make this decision on their own giving both religious freedom or the freedom to genital intactness for the individual. Would it not be better to discourage non consenting infant circumcision in a non religious hospital setting?

    Further more some research I have come across seems to question the tradition of circumcision as a tenant of Judaism.
    Most people assume that circumcision has always been a part of Jewish life. In Genesis 17, we read that the Lord appeared to Abraham when he was ninety-nine years old and made a covenant with him, agreeing that he would be the God of the Jews and the Jews would worship no other god but him. To Seal the bargain. Jehovah is reported to have said to Abraham:

    For Your part, you must keep my covenant, you and your descendants after your, generation by generation. This is how you shall keep my covenant between myself and your descendants after you: circumcise yourselves every male among you. You shall circumcise the flesh of your foreskin, and it shall be the sign of the covenant between us. Every male among you in every generation shall be circumcised on the eighth day, both those born in your house and any foreigner, not of your blood but bought with your money. Circumcise both those born in your house ans bought with your money.(genesis 17:9-19)

    Biblical scholars, however, have known for a long time that this passage was never in the original Bible. It was added about 500 B.C., over one thousand years after the time of Abraham. Scholars David Rosenberg and Harold Bloom have published a full translation of the original version of Genesis, which dates from about 950 B.C. Here, Chapter 17 is conspicuously absent. All we read is that

    it was that day Yahweh cut a covenant with Abram:I gave this land to your seed, from the river of Egypt to the great river, Euphratesof the Kenite, and Kenizzite, the Kadmonite; of Hittite, the Perizzite, the Rephaim; of the Amorite, the Canaanite, the Girashite, the Jubisite(23)

    As you can see, there is no mention of circumcision as a sign of this bargain. Along with biblical scholars, the only conclusion is that circumcision was never originally part of Judaism. Why, then, was circumcision incorporated into priestly Judaism?
    Rabbi and historian Lawrence A. Hoffman explains that by the late fifth century B.C., at the time of the Jews from Babylonian captivity, the priest hood tried to confirm their status as the dominant political force among the Israelites. (24) they did this by instituting a temple-centerd sacrificial cult into which newborn males were initiated by circumcision. They created the Abrahamic circumcision myth and inserted it into the most important part of Genesis, pretending that it had been there all along. The priesthood maintained their grip on power until about A.D. 71, when they were overthrown. Circumcision has remained a Hebrew practice ever since.

    References:

    2. Gospel of Thomas 53. In: Schneemelcher W, Wilson R. Mcl (eds). 2 vols. New Testament Apocrypha. Chambridge: J. Clkarke& Co; louisville, Ky: Westminister/John Knox Press. 1992-1992. Vol.2, pp.125
    3. Esra 5:30-31. The Fifth and Sixth Books of Esra 5:30-31. The Fifth and Sixth Books of Esra. In: Schneemelcher W, Wilson R. Mcl (eds). 2 vols. New Testament Apocrypha. Chambridge: J. Clkarke& Co; Louisville, Ky: Westminster/John Knox Press. 1992-1992. Vol.2, pp.125
    4. Paulus, Sententiar 5:22:3-4. In: Linder A. (ed). The Jews in roman Imperial legislation. Detroit: Wayne State University press; 1987. pp. 117-20.
    5. Collectio Tripartita, book 1: from the codex. Title 9, translation 70. Linder A (ed). The Jews in the Legal Sources of the Early Middle Ages. Detroit: Wayne State University Press; 1997. p.49.
    6. The canons of the holy and altogether august apostles. In: percival HR (ed). The seven Ecumenical Councils of the undivided Church. Vol.14 of: A select Library of Nicene and Post-Nicene fathers of the Christian Church 2nd series. New York: Charles Scribners Sons; 1900. p.595.
    7. St. Augustine. Reply to Faustus the Manichaean. Book XIX. Paragraph 9. In: Dods M (ed). The Works of Aurelius Augustine, Bishop pf Hippo. Edinburgh: T.&T. Clark. 1872. vol. 15, p. 334
    8. St. Cyril. The Catechetical Lectures. In: Schaff P. Wace H (eds). A Select Library of Nicene and Post-Nicene fathers of the Christian Church. Second Series. 14 vols. New york: the Christian Literature Company. 1894. vol. 7 p. 30
    9. St. Jerome. Epistola XIX: De vera circumcisions. In: Migne JP (ed). S. Eusebii Hieronymi, Opera omnia. Petrologiae cursus completes. Paris: n.p.; 1846. vol. 11 , pp. 188-210
    10. St. John Chrysostom. Discourses Against Judaizing Christians Translated by Paul W. Harkins. Washington, DC; The Catholic University of America Press; 1979.
    11. John of Damascus. Exposition of the Orthodox Faith. Chapter XXV. Concerning the Circumcision. In: Watson, Pullan L (eds). A Select Library of Nicene and Post-Nicene fathers of the Christian Church. 2nd series. 14 vols. New York: The Christian Literature Company. 1894. vol 9, p 97.
    12. St. Justin Martyr. Dialogue with trypho. In:Falls TB (ed). Writings of Saint Justin Martyr. New York: Christian heritage; 1948. pp. 147-368[here, pp. 171-84,212-9]
    13. Lactantius. The Dicine Institutes, XVII. Of the superstisions of Jews, and their hatred aganst Jesus. In: Roberts A, Donaldson J (eds). The Ante-Nicene fathers. 10 vols. Buffalo: The Christian Literature Company; 1886. vol. 7 , pp.118-9.
    14. Origen. De Principiis, 4.3 In: Butterworth GW (ed). Origen on First Principals. London: Society for promoting Christian Knowledge. 1936. p 293.
    15. Tertullian. Adversus Iudaeous II, 13-III. In: Quinti Septimi Florentis Tertulliani Opera, Paris II. Opera Montantistica. Turnholti: Typographi Brepols; 1954. pp. 1344-9.
    16. St. Ambrose. Ambrose to Constantius. In: Beyenka MM (trans). Saint Ambrose Letters. New York: Fathers of the Church. 1954. pp. 90-100.
    Saint Ambrose. Ambrose to Horontianus. In: Beyenka MM (trans). Saint Ambrose Letters.New York: Fathers of the Church. 1954. pp. 251-4.
    17. Origen. Against Celsus 22. In: the Ante-Nicene fathers. 10 vols. Buffalo: The Christian Literature Company, 1886. vol. 4, p. 405.
    18. St. Ambrose. Ambrose to Clementianus. In: Beyenka MM (trans). Saint Ambrose letters. New York: Fathers of the Church. 1954. pp. 405-9[here, p. 407].
    19. Grayzel S. The Church and the Jews in the XIIth Century. Vol. 2, ed K.R Stow. Detroit, Mi: Wayne State University press; 1989. pp. 246-7.
    Linder A (ed). The Jews in the Legal Sources of the early Middle Ages. Detroit: Wayne State University press; 1997. pp. 28, 35, 38, 49, 52-8, 73, 84, 87, 104, 106, 119-9, 127, 133-6, 141-4, 147, 155-8, 170, 172, 213, 214, 226, 233, 238, 242-4, 248-53, 257, 260, 264, 268, 270, 274, 278, 285, 290, 295, 314, 351, 406, 409, 413, 416, 485, 488, 499, 519, 543, 576-7, 583, 587, 612-3, 617, 619-20, 636, 656, 658, 669, 670, 679.
    20. see: Pelikan J, Oswald HC, Grimm HJ, Lehmann HT (eds). Luthers Works. 55 vols. Philadelphia: Fortress press; 1971. vol. 2, p. 361; vol. 47, pp. 88, 152-9; vol. 54, p. 239.
    21. Moroni 8:8. The Book of Mormon. Translated by Joseph Smith First published in 1830. Salt Lake City: the church of Jesus Christ of Latter-Day Saints, 1921. p516.
    22. Section 74:2-7. Doctrine and Covenants. Salt Lake City: Desert News Company; 1880. pp. 260-1
    23. Rosenberg D, Bloom H (trans and eds). The Book of J. New York: Grove Weidenfeld;1990. p.79.
    24. Hoffman LA. Covenant of Blood: Circumcision and Gender in Rabbinic Judaism. Chicago & London: University of Chicago Press; 1996.

  213. @Mistish

    Determined Scientists Seek To Regrow Foreskin In Lab

    A charity called Foregen is collecting donations for a clinical trial of foreskin regeneration. Foregens mission is to reverse the damage done by circumcision for men who are suffering from surgical and psychological complications.

    This foreskin regeneration trial was proposed by a leading regenerative medicine program at the Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland. Scientists at the CHUV have used cutting-edge stem cell technology to grow biological bandages which have already been successfully implemented to regenerate the skin of burn victims.

    Many may ask why anyone would want to regenerate their foreskin. First and foremost, the goal of foreskin regeneration is to restore physical integrity and the fundamental right to ones own body, a right that was repeatedly violated with the implementation of mass industrialized, non-consenting, non-therapeutic male infant circumcision in the Unites States. A wide range of surgical complications occur in 2-10% of the cases.(1) Since there are approximately 120 million circumcised men in the United States today, it stands to reason that there are millions of men who suffer daily from the effects of these botched circumcisions. These are the men who can benefit most form the work at Foregen.

    Many Americans are surprised to hear that circumcision (the surgical removal of the foreskin) is uncommon in the western world. Foreigners are often shocked when they first hear that the practice of circumcision even exists in the United States. Circumcision was first introduced in the United States by an anti-sexual Victorian initiative which began during the 1830s. Numerous publications from the 1830s to times even as late as the 1970s had advocated for circumcision as a means to prevent masturbation, and permanently desensitize the penis.(2,3,4,5,6,7,8,9,10,11,12)

    Circumcision advocates quickly moved on to manufacture a number of outrageous health claims. These claims were tailored to the fears and anxieties of the day. Circumcision has been claimed to cure epilepsy, convulsions,? paralysis, elephantiasis, tuberculosis, eczema, bed-wetting, hip-joint disease, fecal incontinence, rectal prolapse, wet dreams, hernia, headaches, nervousness, hysteria, poor eyesight, idiocy, mental retardation, insanity, strabismus, hydrocephalus, clubfoot, cancer, STDs, UTIs, ect.(13) Doctors were eager to claim that they could cure many of these aliments,conditions and diseases because there were no treatments available then. Even though all of these claims have been throughly discredited, circumcision has remained a solution in search of a problem ever since. Many Americans are surprised to find out that female genital cutting (FGC) shares a strikingly similar history in the United States.(5,14,15,16,17,18,19) FGC was even covered by Blue Cross Blue Shield until 1977. Nowadays, many forms of FGC are now considered forms of female genital mutilation (FGM), which are banned in all western countries.

    Perhaps the most shocking fact is that circumcision continues to be practiced in the United States even though no official western medical organization in the world recommends it. The Royal Dutch Medical Society, The British Medical Association, the Canadian Pediatric Society, and the Royal Australian College of Physicians have all made official policy statements against circumcision. The American Academy of Pediatrics, the American Medical Association, the American Academy of Family Physicians, and the American Urological Association all do not recommend circumcision, and are also in agreement that there are no proven benefits.

    For some reason this information is not making it to parents. Studies have shown that doctors provide parents with almost no accurate or useful information about circumcision. One study showed that 40% of parents believed that their doctors failed to provide enough information, 46% reported that their doctors failed to give them any medical information at all, and 82.8% of parents regretted their decision they made within the first six months of their sons life.(20) Another study found that physicians were less likely to circumcise their own sons.(21) This suggests that doctors are very well aware that circumcision is a non-therapeutic surgery (in short, a ritual); but they do not appear to share this knowledge with parents. A busy physician can supplement their income by as much as $60,000 per year from circumcision surgeries alone.(22) This incentive can cloud a physicians judgment when it comes to providing parents with information about circumcision.

    Many parents are surprised to hear that anesthetics are used in only a minority of cases.(23) The use of local anesthetics significantly drives up the costs of surgery. When anesthetics are used, they can only reduce the pain. Infants can not be given general anesthesia because of the medical risks involved. In the recent past, anesthesia was rarely used, if ever. Because of this, circumcision has always been an extremely traumatizing experience causing an array of short and long term behavioral problems, including altered perceptions, and post traumatic stress disorder (PTSD)(24,25,26,27,28,29,30,31,32,33,34,35), and a possibly self destructive behavior(36,37). Many circumcised men, some of whom are doctors, experience a strong denial of loss which in turn fuels an emotional compulsion to repeat the trauma to normalize their loss.(38,39,40,41,42)

    What is the foreskin? is a question that many Americans would have trouble answering. Information about the foreskin is virtually absent during discussions of anatomy in biology classrooms, and yet, the foreskin provides a well-documented set of crucial sensory, protective, immunological, hygienic, and sexual functions. The foreskin is a double fold of skin that is twice as big as its appearance. It can make up to 80% or more of the penile skin covering, and includes around 12-20 square inches of skin (the size of a 3×4 or a 4×5 index card!), and in turn includes a specialized sheet of dartos muscle(43,45). One of the functions of this mobile skin system is to glide up and down the shaft of the penis in order to facilitate non-abrasive stimulation during sexual activity without any need for artificial lubricant. This frictionless gliding mechanism is the principal source of stimulation for the intact penis and facilitates non-abrasive intercourse.

    The neuro-anatomy of the penis has been rigorously studied by respected anatomists of all kinds. The component tissues that comprise the foreskin are richly innervated with the greatest quantity and variety of sensory nerve endings than any other part of the penis.(44,45,46,47,48,49,50,51,52) Many people are surprised to discover that the glans or head of the penis is actually the least sensitive part.(45,51,52)

    To no surprise, this information was corroborated in a 2006 study which measured the sensitivity of all the parts of the penis. Researchers used an extremely sensitive pressure sensing probe while each test subject, whose view was blocked with a screen, reported a sensation of touch. To demonstrate precision they took each measurement multiple times. The results were statistically consistent. They concluded:

    “Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis[...] The glans in the circumcised male is less sensitive to fine-touch pressure than the glans of the uncircumcised male[...]The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface [...] When compared to the most sensitive area of the circumcised penis, several locations on the uncircumcised penis that are missing from the circumcised penis were significantly more sensitive.”(52)

    The foreskin, like the eyelid, also serves an important set of protective and immunological functions. The foreskin protects the delicate glans of the penis and puts the urethra at a distance form its environment protecting it from foreign contaminants of all kinds. While simultaneously shielding the penis from injury. The foreskins inner fold and the glans of the penis are comprised of mucous membrane tissue. These are also present in your eyes, mouth, and all other bodily orifices including the female genitals. These mucous membranes perform many immunological and hygienic functions. Certain components such as Langerhans cells(53), plasma cells(54), apocrine glands(55), and sebaceous glands(56), collectively secrete emolliating lubricants(57) rich in enzymes such as lysosomal enzymes, cathepsin B, chymotrypsin, neutrophil elastase, immunoglobulin, and cytokine(58,59) whose function is to sequester and digest foreign pathogens. The foreskin is also responsible for the production, retention, and dispersal of pheromones such as androsterone(60). In time we will discover even more information about the foreskin and its functional components.

    The intact penis is naturally clean and maintains a level of hygiene that is optimal when compared to a penis that has been altered by circumcision. In fact, a myriad of rigorously controlled studies performed by objective researchers among racially and socioeconomically homogeneous study groups in developed urban settings have shown that circumcision is often associated with an increased risk of bacterial infections, viral infections, and major STDs (61,62,63,64,65,66,67,68,69,70,71,72).

    Needless to say, circumcised men have been denied normal bodily functions associated with anatomically correct genitalia. Foregen is working tirelessly to restore physical integrity and emotional wellbeing to circumcised men who desire genital intactness. Visit Foregen.org and dontate to support the cause.

    Refrences:
    (1)Williams, N; L. Kapila (October 1993). “Complications of circumcision”. British Journal of Surgery 80 (10): 1231-1236.
    (2) Lallemand C-F. Des Pertes Seminales Involontaires, 3 vols. Pasis: Becht Jeune 1836, 1839,? 1842. Vol1.,pp.463-1: vol2., 70-162; vol. 3,.pp266-7,280-9
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  214. There certainly are choices that parents need to make for their children, before the children are old enough to make them for themselves. Obviously, parents need to decide what to feed their babies. If they waited until the child was old enough to decide whether he or she wanted breast milk or formula, it wouldn’t happen, because the child would be dead. Sometimes, like with a child born with a serious birth defect, like the Congenital Diaphragmatic Hernia my daughter was born with, parents have to make a choice of whether or not their child should have surgery, so that the child can live. In other cases, a child may not need surgery to live, but might need it to be able to walk, see, hear, etc.. However, a child who is born with a normal, healthy penis does not need to have surgery on it.

    As for God’s chosen people, the form of circumcision practiced for several thousands of years involved merely cutting the protruding tip of the foreskin, leaving the majority of it intact (not “in tack”).

  215. Take this advices. A rise child isnt a joke.
    http://www.psychology-advice.net/dumb-parenting-dumberer-child

  216. I think Craig clearly needs his own circumcision website or something where people can go to if they want to read all of his endless information. Seriously, who in the world posts comments that long, one after the other, on a parenting blog?

  217. Perhaps offering information by the yard prevents anyone from looking at any particular inch too closely. The upper part of a recent post cites a survey of parental attitudes published in the journal Pediatrics in 2001. The survey actually says, at the top: “Results. A total of 149 families were surveyed. Families
    (68) who did not have their sons circumcised were
    less satisfied with their decision. Compared with families
    (81) of circumcised children, parents of uncircumcised
    boys were less likely to have been asked by their
    physician about whether they wanted their child circumcised,
    believed that they did not receive adequate information
    about the procedure, felt less respected by their
    medical provider, and were more likely to reconsider
    their decision.” The study went on to say that 81.9 percent of ALL of the families would make the same decision if they were making it again today. However, that 27 percent of the families that did NOT circumcise ended up unhappy with their decision, compared with 14 percent of the families that DID circumcise. And that those who circumcised ended up happier with their decision than those that did not. At one point, the researchers asked families whether they ever “reconsidered” their decision after the surgery and found that 82.6 percent said they had, particularly in the first month or two. As a result, they advised pediatricians to make sure they were informed so they could accurately answer patient questions.
    But in what was posted below, you’d have a hard time understanding what the study actually said. It got summarized this way:
    “One study showed that 40% of parents believed that their doctors failed to provide enough information, 46% reported that their doctors failed to give them any medical information at all, and 82.8% of parents regretted their decision they made within the first six months of their sons life.”
    Get that? Just change “reconsidered their decision” to “regretted their decision,” and suddenly this survey seems to say something else entirely.
    The study can be found here: http://pediatrics.aappublications.org/cgi/reprint/107/2/e20

    A sentence or two up, the post says the AAP “agrees” that there are “no proven benefits” to circumcision. But in reality, even the neutral existing policy says that scientific evidence (as of 1999) showed potential benefits and risks, which are discussed thoroughly here: http://aappolicy.aappublications.org/cgi/content/full/pediatrics;103/3/686
    The trouble is, who has time to truth squad hundreds of links? Perhaps that is the point.

  218. I wasn’t sure what my opinions were on the matter of circumcision before i watched a video because i didn’t know how exactly the ‘operation was carried out.
    I now believe that unless there is a medical reason in favour of the circumcision that it should not be undertaken.
    The video was difficult to watch especially as the baby was screaming relentlessly. That child must have been experiencing some pain! If the brutal act has to be done, total pain relief should be provided.
    It looked a ridiculously painful procedure!

  219. A very straightforward interview with two cancer/HPV researchers was on NPR yesterday; you can listen to it or read it here: http://www.npr.org/2011/03/04/134265279/human-papillomavirus-infection-and-cancer-risk. They were talking about a new study that shows more than half the men in the U.S., Mexico and Brazil have HPV. The researchers emphasized that cancer screening programs are saving the lives of women, but that PREVENTING infection in the first place is even more important to save the lives of MEN because there are no widespread screening programs to detect anal cancer (HPV causes up to 70 percent of anal cancer) or oral cancer (HPV is now believed to cause about two thirds of oral cancer – more than smoking – and you get it through oral sex). So, how do you prevent it? Here’s the researcher’s answer (emphasis mine).
    “We’ve published, and others have published, that you get PARTIAL protection from CONDOMS, but condom use is important for a variety of reasons. So it’s something that we would still strongly promote.

    The other is, there is evidence that male CIRCUMCISION can REDUCE HPV infection, both in the male as well as transmission to the female partner.

    And then the third is, you know, the classic primary prevention through VACCINATION. And we now have, in the United States, a licensed vaccine against HPV that is available for both males and females.”

  220. The AAP has recommended analgesia for pediatric circumcision for more than a decade; the major methods of EMLA cream, dorsal nerve block, and subcutaneous ring block are discussed in its 1999 policy statement here: http://aappolicy.aappublications.org/cgi/content/full/pediatrics;103/3/686 In addition, a survey that was conducted in 2003 showed that 97 percent of the doctors in training for pediatrics, family practice and OB/GYN (in other words, the specialties that are likely to perform circumcision) were taught effective pain relief techniques for circumcision during their residencies. http://www.cbsnews.com/stories/2006/07/20/health/webmd/main1823112.shtml

  221. If you are a woman, you have no business commenting on this topic. You don’t have a foreskin or a penis, so you haven’t the slightest idea what it’s like to have the latter or lose the former. Leave this decision to the child– meaning when they are old enough to understand the risks and legally consent to a medical procedure, they can elect to get circumcised. NOT your decision! Leave your son’s genitals alone!

  222. The median age for first vaginal sexual intercourse for an American boy is 16.9 years. That means 50 percent lost their virginity even younger. Assuming that a teen would have the Intellectual, social and emotional foresight to plan a circumcision to help protect himself and his future partners from the risk of developing an HPV related precancer or cancer 20-30 years from now, he’d also need consent from his not-so-irrelevant parents. Kids under 18 may have lots of sex that they never tell their parents about, but they still need parental consent for surgery.

  223. LUKE 2:21-29-32

  224. As the first one to comment on this post, as the “discussion” seems to be winding down, I stand by my initial beliefs that circumcision is one of the “third rails” of parenting. It’s nowhere near as controversial as breast feeding (because even when parents think “breast is best” they usually understand there is a place for formula in this world) or even vaccination (since all the autism theories have been debunked, and the evidence is so overwhelmingly one sided). Today’s parents are soooooo opinionated about everyone else’s parenting styles. Accusations of abusive practices fly. It’s just sad that you would stoke those fires of the “mommy culture wars” in order to push your views of how other parents should make medical decisions for their children, or more cynically, to get lots of “hits.”

  225. 1. OK, you have completely ignored the HPV data. Or don’t you care if your son’s partner gets cervical cancer?
    2. Anesthesia works. Period.
    3. Definitely believe in leaving the body as evolution intended. Ignoring an inflamed appendix is the perfect second example.

  226. One other thing about HPV. There are more than a dozen cancer-causing strains of HPV. Both of the HPV vaccines currently available only protect against the two oncogenes that have been th most common. The trouble is that some experts believe the other strains will start becoming more prevalent – which is why they recommend the synergy of the vaccine AND circumcision, which both provide partial protection, along with condoms, which also provide partial protection. Of course, there’s always abstinence, but I’m assuming that most parents hope their child gets to have sex at some point in life.

  227. I just wanted to add that, if Dr. Margulis’ friend had sought medical help for his tight foreskin somewhere besides America, he would likely have had a preputial plasty performed. That is a much simpler procedure, which enlarges the foreskin band without any loss of tissue or function. It causes much less pain, and takes much less healing time, with fewer short and long-term complications as circumcision. http://www.cirp.org/library/treatment/phimosis/cuckow/ Circumcision is very rarely necessary.

    For those who think that circumcision is a good preventative for HPV, AIDS, etc., I wonder if you have thought of this; for more than half a century, now, the majority of sexually active men in America have been circumcised. If circumcision prevented such things, shouldn’t we have lower rates here than countries where almost no one is circumcised? We don’t. We have higher rates, in most cases. The neonatal circumcision rate is lower than it used to be, but most of those boys have not made it to adulthood yet. What we are seeing now ARE the rates that accompany widespread circumcision. If anything, in light of the non-circumcising nations whose rates of diseases like HPV, cervical cancer and AIDS are much lower than our own, we should be wondering if widespread circumcision actually INCREASES the spread of them.

  228. We have a far higher HIV rate than Switzerland, where most men are uncircumcised, and a far lower HIV rate than Russia, where most men are uncircumcised. Comparing STD rates between countries will be confounded by all number of variables from poverty to health care to other things unknown. If you want to directly examine the results of circumcision, compare the results in circumcised and uncircumcised men from the same population (as they did in the randomized controlled trials in Africa). For example, the study that looked at sexually active men in Tampa and Tucson from 2002-2005. Circumcised men were about half as likely to have HPV as uncircumcised men. http://jid.oxfordjournals.org/content/199/1/7.full Why? Researchers developed a theory a couple of years later after following a group of sexually active men for 18 months. They found that the bodies of circumcised men were able to eliminate HPV infections far more quickly than those of uncircumcised men. Specifically, the circumcised men were three times more likely to clear any type of HPV infection by the end of the follow-up period and SIX times more likely to clear one of the cancer-causing strains. http://jid.oxfordjournals.org/content/199/3/362.full

  229. Xenu, I’m a woman and as a mother I’ll have every business deciding on many ‘unwomanly’ things regarding my son, if I’ll just leave this decision to my husband because he’s a man, my son will end up being circumcised against my will.

  230. Stamping out HPV doesn’t just protect women from cancer; it also protects relatively young men. From this week’s Maclean’s (Canada’s answer to Time or Newsweek) an article titled “A Cancer for the Young:”
    What were seeing is almost an epidemic, (the head and neck surgeon) says, referring to a growing acceptance by the medical community over the last several years that at least one strain of HPV (HPV-16, which also causes cervical cancer) is leading to whats known as oropharyngeal cancer. These patients are younger, in their 40s or 50s, mostly male, and they never smoked or drank.
    In Sweden, HPV is now the cause of over 90 per cent of oropharyngeal tumours (up from 23 per cent in the 1970s). In the U.S., the number hovers around 80 per cent. The disease is becoming more widespread in Canada, too. Over the past two decades, HPV-related oropharyngeal cancers in B.C. surpassed those linked to alcohol and tobacco usea switch noted by other regions with successful anti-smoking campaigns. And statistics show a gender split. Between 1998 and 2007, the rate of cancer of the oropharynx, base of tongue, and tonsils in men climbed by 3.8 per cent per year in Ontario.” http://www2.macleans.ca/2011/03/10/a-cancer-for-the-young/
    The infections that caused these cancers were probably caught through oral sex with an infected partner 20 or 30 years ago.

  231. Circumcision as a parental choice and decision for one’s baby should be carefully looked at before the decision is made to go ahead with this procedure on any newborn.
    The risks of not being circumcised are low to begin with so it seems that lowering an already low risk is not necessarily a significant statistic unless you are that statistic.
    As a maternal child nurse I am glad to see such a discussion…circumcision is a medical procedure and should be carefully considered by parents before they grant permission for circumcision of their son.
    http://www.parentingintheloop.com

  232. A less controversial point of view: keep son like his dad. That’s what we did. At first it was really important to me to have my son circumcised since I grew up in the States, but I gave way to my non-U.S. raised husband’s wishes so the two could be alike.
    The Outlaw Mom (http://www.theoutlawmom.com)

  233. Circumcision just isn’t a black and white issue. I too thought that NOT circumcising was easily the way to go until medical complications got in the way. Visit http://www.themusingmama.com/the-first-year/the-circumcision-decision/

  234. This article is biased.

  235. Great news on the HPV front. A company is starting clinical tests on a “tissue sparing” device that would treat pre-cancerous cervical lesions caused by HPV with light therapy. Why try this approach? Because the current accepted treatments, which include cutting off the damaged cells, lasering them off, freezing them off or burning them off “can damage healthy tissue and cause long term health issues including post-surgical infections, reduced fertility and an impeded ability to carry a child full-term.” Let’s hope it works. Just because “only” about 3,000-4,000 women die from actual cervical cancer each year doesn’t mean that thousands more aren’t suffering from serious HPV damage every single year. Please take HPV seriously. Abstinence/reducing sexual partners, condoms, vaccine and yes circumcision all help.

  236. http://www.68share.com

  237. If parents decided to leave major decisions to kids until they were old enough to decide for themselves then watch out world, we are going to have a bunch of messed up people out there.
    My father hated not being circumcised. He hated how unclean it could be, that he was differrent, etc…and decided to have a circumcision in his 40′s. He said it was the most painful thing he ever experienced in his life and it took a long time to heal. But even with that he would do it over again in a minute.

  238. I feel the same way about this as I do about the articles on breastfeeding… most of us don’t care what you choose. (Yawn)

    On a related note, most of the world does not circumcize. Personally, I’m still surprised at how circumcision is really only prevalent among white, middle-class and upper-middle class U.S. Christians (besides Jews and some, but not all, Muslims). Whatever. I personally think insurance companies ought to stop covering it, since they’re hiking my premiums and still covering it. (In full discosure, we opted not to circumsize my son, tho my husband was.) Unless you have penile cancer or other rare malady, it’s a completely cosmetic procedure. It’s only recommended for cutting down on STD transmission in places like sub-Saharan Africa where the cultural customs and tradition prevent men from adopting widespread condom use. Truth is, you’re better off having protected uncircumsized sex than unprotected circumsized sex any day of the week. People who don’t live in sub-Saharan Africa who point to it as some sort of disease prevention are just looking for a way to justify their preference for a painful cosmetic procedure.

  239. Tina, I doubt the infectious disease specialists at the CDC are trying to justify a cosmetic procedure. I suspect they actually care about the needless suffering and death caused by HIV and HPV. http://www.medicalnewstoday.com/articles/161868.php

  240. And given the fact that HPV is now believed to cause more oral cancer than smoking, one wonders about the world of “protected” oral sex that lies in our children’s future.

  241. There are fewer complications in neonates: “In general, complications (reported by parents) occur least frequently among neonates and infants than among older boys, with the majority of prospective studies in neonates and infants finding no serious complications, and relatively few other adverse events, which were minor and treatable. The prospective studies in older boys also found virtually no serious adverse events, but a higher frequency of complications (up to 14%) even when conducted by trained providers in sterile settings [47]. The lower frequency of complications among neonates and infants is likely to be attributable to the simpler nature of the procedure in this age group, and the healing capability in the newborn. Further, a major advantage of neonatal circumcision is that suturing is not usually necessary, whereas it is commonly needed for circumcisions in the post-neonatal period. This advantage is illustrated by the US study in which no complications were seen among 98 boys circumcised in the first month of life, but 30% of boys aged 3-8.5 months had significant postoperative bleeding [24]. There are alternatives to suturing, either with the disposable clamps, or with alternatives such as cynoacrylate glue [44] and further research in this area is needed.” http://www.biomedcentral.com/1471-2490/10/2

  242. There are more complications in adults: “Our systematic review was restricted to circumcision complications among boys aged 12 years or under. However, there are several published studies of circumcision complications among adolescent and adult men (Table 6) and these indicate a generally higher frequency of complications than seen in neonates, infants and children. In the three RCTs of circumcision in adult men, complications were observed in 2-7% of HIV-negative men [14,61,62], and in 6-8% of HIV positive men [14,62]. The most detailed observational study was conducted among the Babukusu ethnic group in western Kenya. Of 562 adolescents circumcision by a medical provider (or reported as such), 18% had a complication, as did 35% of boys circumcised traditionally [60]. A sub-study in the same population directly observed 24 boys undergoing medical and traditional circumcision respectively and found that of those circumcised medically, only one boy had no adverse events, and 3 permanent adverse sequalae were reported, including one very serious life-threatening case by a ‘medical’ practitioner who was later found to have no documented medical qualifications [60]. Among the 12 directly observed traditional circumcisions, complications were seen in 10 boys (83%), and 4 (33%) were judged to have permanent adverse sequelae. None had fully healed by 30 days post-operation. Detailed examination showed that traditional circumcision was also associated with slower healing, more swelling, laceration and keloid scarring [60]. These results show that under non-sterile conditions, adolescent and adult circumcision can frequently be associated with severe complications. Other case-series of circumcision complications among adolescents and young men also report severe morbidity and mortality [63-68]. Reported complications tend to be more common in this age group than for neonates and infants, even when circumcision is conducted under the ‘gold standard’ conditions such as in the RCTs.” http://www.biomedcentral.com/1471-2490/10/2

  243. Husband is from Ireland – they do not circumcise unless they are Jewish. It has always bothered me/grossed me out. Sure he cleans it but, I don’t want to have sex with him until after he showers. I would love for my husband to get circumcised but I don’t want to see him go through the pain (he wouldn’t want the pain either). When we found out we were having a boy I asked my husband what he thought. He said that since the majority of the population here (US) is uncircumcised he wanted him to be also. He did not want him to feel different. Our child has dual citizenship (US/Ireland) so we are assuming he will want to live here as an adult one can only guess. If my son was in pain he won’t remember it. When we were making the decision I felt a little jealous of Jewish parents who are not judged for their decision since it is a religious decision. I do feel that the hospital did a poor job of preparing us for the after care of the procedure. I had to have a c-section and was in the hospital from wed-sat. They waited until an hour before they discharged me to do the procedure (even though I asked for it to be done as soon as he was 24 hours old). I was in shock by the “rawness” (I don’t know what I was expecting) when he was brought back to us. They instructed us how to care for it but, forgot to send us home with the gauze with the petroleum in it. I was in tears for the first day or so but, within 3 days it looked completely healed. I now feel we made the correct choice.

  244. correction: since the majority of the population here (US) is circumcised

  245. forced ear piercing is wrong too.

  246. Hello! egccgee interesting egccgee site!

  247. The medical staff didn’t tell me they wouldn’t use anesthesia or even a topical. My son’s knees drew to his chest for three days, even with the guaze. The bull crap that “he won’t remember” is nonsense. Children born with heart murmur or other problems are not circumsized…why…it could cause cardiac arrest from the pain. Have a toenail ripped out without pain killers, then decide if you want to do this to your son. Teach him how to clean it just like you teach little girls how to properly wipe and care for their parts.

  248. I live in Brazil, and as in many other countries we do not routinely circumsize unless jewish. We chose not to have my first son circumsized but he did have phimosis and after waiting two years to see if the skin would retract and using an ointment, we decided to have the operation. The procedure here is completely 100% pain free (unless jewish w/mohel). The child is first sedated with gas and once sleeping receives an injection of local anesthesia. The first few days afterwards should have been the only painful part but my son didn’t even fuss. It disturbs me A LOT to imagine american little babies being straped and having this without anesthesia. I wish that the parents that put their poor child through this have a nail yanked off someday, sorry. Now my son number two is 18 months old and he was also not circumsized as a newborn and also has phimosis. Since it’s unlikely to resolve itself at this point, I had his surgery scheduled for next week but after reading this I’m postponing this for another 6 months to see if we get lucky. Thanks for the excelent article.

  249. Circumcision without a medical reason is simply barbaric and outdated. And I do look down on any parent who circumcises without a medical need to, even if it’s done for religious reasons. There’s absolutely no reason to take off a perfectly healthy foreskin. None.

  250. I think circumcision without medical or religious reasons is wrong. People who do it without those reasons do so with social issues in mind. Those social issues can easily be discussed and resolved without usage of a scalpel.

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  253. If you are American, you must circumcise your son! Not circumcising your son is unpatriotic and UNAMERICAN! Circumcision can effectively punish masturbation. And if your son still masturbates after circumcision, then you must castrate him! People who have foreskin are of the devil! If you don’t circumcise your son, you’ll go to hell!

  254. Hello! ebbegee interesting ebbegee site!

  255. Hi! While I respect your opinion and right to do whatever to your son, I have to say that circumcision for both medical and religious reasons is right. I’m speaking as a woman and do not know what kind of pain you men have to go through but when it is done during infancy, the male won’t remember the pain which is why it’s best to get it done as a baby, not an adult. As far as being considered traumatic and unnecessary, I beg to differ. You see, child birthing is traumatic but no one has much pity when women have to undergo the pain of bringing life into the world. Why am I bringing this up? Well because if you men are using your penises inside a woman and it is not circumcised, you put her at risk for bacterial infections. If she is pregnant and you just have to have sex with her, you are also putting the fetus at risk for various infections. I’m not talking about the usual suspects like HIV, HPV or other STDs, I’m talking about Urinary tract infections, yeast infections, pelvic inflammatory disease, and bacterial vaginosis. Now add that to a pregnant woman’s misery and compare to getting snipped. You see, the Creator protected women from all kinds of anaerobic bacteria (bacteria that doesn’t hit air but is tucked away in difficult areas to clean under the foreskin) by commanding Abraham and his descendants to circumcise their sons when they are really too young to remember the pain as they grow up. Please at least consider what I am saying. Most men act like pain is only a woman’s burden but what you do or don’t do to you or your son’s body can have a direct impact on their partner later on in life. And don’t get me started on women who’s uterus are tilted backwards! Poor things should stay far away from the uncircumcised.

  256. my son was circumcised. my husband watched the whole thing. my son was asleep when he was brought in, slept through getting anesthesia and slept through the short procedure. so no, not all babies scream in pain and it’s not a life altering experience for them. he will never remember it, and even if he could remember that time…he was asleep.

  257. From the new JAMA article on the lifelong health benefits of circumcision:

    In the report – published in the Oct. 5 issue of the Journal of the American Medical Association – the doctors highlight recent research suggesting that circumcision has life-long health benefits.

    The authors reviewed more than 500 studies, finding that circumcision reduces risk for HIV transmission in heterosexual men by 60 percent, genital herpes by 30 percent, and cancer-causing HPV by 35 percent. Having the procedure also reduces the risk of urinary tract infections and inflammation, according to the report.

    “If a vaccine was available that reduced HIV risk by 60 percent, genital herpes risk by 30 percent and HR-HPV [cervical cancer virus] risk by 35 percent, the medical community would rally behind the immunization, and it would be promoted as a game-changing public health intervention,” study author Dr. Aaron Tobian, epidemiologist and pathologist at Hopkins, told MSNBC.

    http://www.cbsnews.com/8301-504763_162-20115905-10391704.html

  258. Also: The report showed that infection risk in infants is between 0.2 and 0.6 percent – those rates climb to between 1.5 and 3.8 percent if the procedure is performed on adults. And despite what opponents claim, the authors said there is no scientific evidence that circumcision reduces sexual satisfaction, sensitivity, or male performance.
    http://www.cbsnews.com/8301-504763_162-20115905-10391704.html

  259. Why is reducing HPV a big deal? Cancers of the cervix, penis, vulva, throat and anus. And now heart disease.
    http://www.nytimes.com/2011/10/25/health/research/25theory.html