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The Truth About Circumcision & HIV/HPV

The AAP & ACS Don't Recommend Circumcision

By Heather B., published Feb 15, 2007
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"Knowledge is power. Information is liberating. Education is the premise of progress, in every society, in every family." - Kofi Annan

The World Health Organization recently published that circumcision may offer some protection against HIV for men. It did not, however, reveal the exact details of the studies. Furthermore, all of the studies took place in Africa, which is very different from America in many ways. America is a more wealthy country where condoms are more easily attained, and citizens are more educated about safe sex practices. The study did not describe the education levels, sexual tendencies, or social status of the individuals that were observed. This information and other factors are crucial.

If the circumcised men had better financial situations, education levels, and/or higher social standings, it could be the reason why they were less likely to contract HIV. We do not know this, because the study is too vague. A person with access to healthcare and a sound financial situation is more likely to be circumcised than an impoverished individual with inadequate healthcare. It is possible that the circumcised men were more educated and thus knew about safer sex practices, from using condoms to refraining from promiscuous sexual activity.

The uncircumcised men may have been more likely to contract HIV for a number of reasons. Perhaps the reason they are uncircumcised is because they are impoverished. It is thus possible that they are less educated about safe sex, less capable of affording condoms, and have less access to healthcare. Rather than blaming their intact penises right off the bat, we need to take a look at their sexual practices, their level of education, and their financial situations. Could it be that, in Africa, uncircumcised men have less resources--and that this is the reason they remain intact, amongst other things?

Takeaways
  • The studies did not take socio-ethnic factors into consideration and are thus inconclusive.
  • The AAP does not recommend routine infant circumcision and states it isn't medically necessary.
  • The ACS states that information linking circumcision to decreased HPV risk is misleading.
Did You Know?
Smoking increaes your risk of HPV. Promiscuous sexual activity greatly increases your chances of contracting HPV and HIV. Refraining from smoking and engaging in safe sex practices are much more preventative than circumcising.
Comments
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Circumcision may decrease the risk of a man contracting it, but it's a provne fact that it increases his risk of passing it on. I hope no one is silly enough to rely on circumcision to prevent STDs.

Posted on 04/29/2007 at 4:04:00 PM

 
The argument that circumcision reduces Aids by 50%, only works. if the uneducated recipients don't get the mistaken idea that they are now immune. If this encourages them to get careless, this could make the infection rate actually get worse.

Posted on 04/28/2007 at 7:04:00 AM

 
Genital mutilation is a shame, and it is the same regardless of the gender of the victim. There is no proven medical benefit to circumcision, which is a dangerous and painful procedure that alters a boy's sex life forever. You have nothing to back up your claim that boys should be circumcised so you'll have to excuse me for not taking you very seriously at all.

Posted on 03/13/2007 at 12:03:00 AM

 
I cliteroectomy and a circumcision are two totally different things and I see no reason for one to be brought up with the other. Boys should be circumcised...simple as that.

Posted on 02/28/2007 at 8:02:00 PM

 
This topic is ancient, yet it seems to only be under direct scrutiny as of very recently. I am vehemently opposed to the practice, and appreciate your insightful and well-rounded argument in opposition of the alleged benefits. I pointed out in a circ piece I wrote (decidedly one sided!) that the Victorian Age declared circumcision as having more benefits than any procedure in medical history! Such a shame we let it go on for so long in the mythical light of irrational belief... thank you for the article

Posted on 02/26/2007 at 11:02:00 AM

 
I think it's easier to see the anti-circ movement if you hypothetically consider whether you would expose your daughter to an elective, cosmetic procedure such cliteroectomy. Of course, not. We find that appauling in the U.S. even though it's practiced in other nations. Essentially, they are the same unless you mistakenly believe foreskin is useless. Otherwise the two are comparable, and from the evidence I've been able to uncover, sex is more enjoyable for an uncircumcised man, although circumcised man aren't aware of that because they don't know anything different than what they've been exposed to. Ultimately, this comes down to an issue of personal rights and medical autonomy. I can never agree with forcing an individual to undergo a life-altering, irreversible medical procedure, particularly since it's cosmetic.

Posted on 02/23/2007 at 8:02:00 AM

 
Anonymous, I think it's really disgusting that you would subject your son to a painful surgical procedure with no proven medical benefits just because YOU think it looks better. How do you KNOW the girls he dates will agree? How do you know HE will agree? It should have been his choice. The risk of complication is 2-10%, and it's definitely not worth that to me just for a boy to have what his MOTHER considers a 'pretty penis' (which is kind of a disgusting motivator, IMO, a mom judging the beauty of her own son's penis). YUCK. Foreskin, by the way, isn't just loose skin hanging off. It actually covers the penis and isn't droopyu at all in most men, and when they are erect, their penises look about the same...so it really sounds doubtful to me that you have an abundance of knowledge about the appearance of an intact penis.

Posted on 02/21/2007 at 4:02:00 PM

 
There were a lot of studies done, and they were all different but in Africa. Regardless, circumcising a bunch of men and then studying how they compare to the intact men is still problematic for making a conclusion, because other factors were not controlled. They could have circumcised the least promiscuous men, a random coincidence--though that's unlikely. The truth is that various medical organizations all agree that the studies were not controlled enough for the conclusions to be trustworthy. Regardless, the financial issue isn't the only factor that is important when learning whether or not a group of people is more likely to contract HIV. Their sexual practices, location, and background still remain important, and those factors weren't controlled. And my "circumcision exposure week" is actually the breaking down of one VERY large essay I wrote into several parts, something I'd just been meaning to do for a while. :)

Posted on 02/21/2007 at 4:02:00 PM

 
Sorry, you said circumcision exposure week..

Posted on 02/20/2007 at 12:02:00 PM

 
I'm glad that my article caused inspiration for your "circumcision week" as you call it. We got off on a lack of communication (mostly on my part) problem, and for that I apologize. In the African HIV study, I don't remember coming across anywhere where the men who participated paid for the circumcisions. I thought they just gathered a group of men and circ'd half of them, therefore, the circumcisions came at no cost to the men. If that were the case, The financial theory would be moot.

Posted on 02/20/2007 at 12:02:00 PM

 
My son was circumcised we made sure of that. I've seen uncircumcised men and they look gross. All that looose skin hanging there looks bad to me and my husband. We didn't do it for medical, cleanliness or religious reasons, but for looks.

Posted on 02/19/2007 at 2:02:00 PM

 
This is a subject you don't hear much about, and it's good to see someone tackle it!

Posted on 02/19/2007 at 9:02:00 AM

 
Oh, and P.S., an intact little boy isn't as much of an "odd man out" these days. About 60% of little boys in the US are circumcised today, and the number of intact boys are growing in number as the myths about circumcision are exposed and the facts are brought to light. It is still fairly routine, especially in certain hospitals and parts of the country, but overall, it's not near as "weird" to be intact anymore as it was 20 years ago.

Posted on 02/17/2007 at 4:02:00 PM

 
I appreciate the explanation. I don't agree, and I don't think my circumcised husband would either. He has to wash his penis whenever he bathes, too, just like any intact man would need to do. And whenever we change our son's diaper, we have to gently retract the skin at the circumcision site to keep it clean, which is pretty much what an older man has to do with his foreskin. So our experience hasn't been that circumcision changes anything about hygiene, but that's just us. Thank you very much for responding at least. I've got an article pending that I wrote addressing the hygiene issue. Hopefully it'll be up in a few days. I'm kind of doing a "circumcision exposure" week lol

Posted on 02/17/2007 at 8:02:00 AM

 
I surely did not want to start a debate, cause I think every parent has to do what is best for their own child. I happen to agree with the fact that hygiene (and infection prevention) is better with it, and my own husband who is not circumcised, would agree with me, although not for the same reasons. In the US, it is much more common, and I think his own experiences as a boy being the odd man out, so to speak, influence his decision on this. I understand this is a medical article, but I just wanted to let you know my stance, so you won't be scratching your head wondering (although you might still be scratching your head on my choices anyway, but I still love your work :).

Posted on 02/17/2007 at 7:02:00 AM

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