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Ryan McAllister, Ph.D. is the Executive Director of NotJustSkin.org He works as biophysicist and studies several topics, including the development of the nervous system.

NotJustSkin.org is dedicated to providing scientific information about questionable medical procedures and advocating for human rights.

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Guest Article...

CIRCUMCISION : Health, Sexism, and Human Rights

by
Ryan McAllister, Ph.D and Dan Sisan, Ph.D

 
© 2004

Circumcision may not be something you’ve thought about before, but it might be one of the most important decisions made for our children today. It is also a decision that illustrates how we perceive and care for our boy children differently than our girl children. 

Most cultures don’t circumcise either sex of child (European, South American, and most Asian countries), and some cultures circumcise both (about 28 African countries. View maps here.) The U.S. stands alone in routinely circumcising male babies without religious reasons. 

The idea of circumcising a girl sends most Americans into shock or rage. Why, then, is the idea of circumcising a boy met with apathy or humor? Some argue the procedure is worse for girls than it is for boys. Is this fact, or another sign that we feel less compassion for boys than girls? (See below for information on the severity of the procedures.) 

Not knowing much about circumcision, about half of American parents today allow someone to circumcise their boys. 

Why? Appearance? Health? Cleanliness? Conformity? Parents often state that they were motivated by conformity, either “so he will look like [the dad]” or so that he “won’t be teased.”  Can you imagine other surgeries being performed on otherwise-typical, healthy children merely for conformity?   Perhaps a need of our own plays a role in this choice we make for our children.  Perhaps knowing it was done to ourselves or our loved ones leads us to rationalize that it was done for good reason. 

But maybe it wasn’t. 

Consider how circumcision first became popular in America. In the late nineteenth century, male circumcision was adopted by doctors to “cure” masturbation. Masturbation was claimed to cause epilepsy and a number of other unrelated maladies. (Read more of the history.) Today, circumcision is the country’s and the world’s most common infant surgery. At the same time, it’s surrounded by misinformation, emotional charge, and – I argue – sexism. 

Consider the following: 

bullet Circumsision of infants is not recommended by any national medical association.
Read the statements.
bullet Circumcision has a 2-10% complication rate. Serious risks include infection, hemorrhage, scarring, shock, penile disfigurement, penile amputation, and even occasional death. Read a detailed analysis and studies of the complications.
bullet Circumcision has no proven health benefits. Some studies show that it increases risk of infections or disease transmission. The few studies that indicate some health benefits, either lower urinary tract infection (UTI) or sexually transmitted disease (STD) rates, all have serious methodological flaws (usually in terms of population selection). Further, all of these diseases have a combined occurrence rate lower than breast cancer. With only dubious evidence of partial protection from Read more.
bullet An intact penis is easy to clean and care for. The circumcision wound, on the other hand, requires cleaning and bandaging for the week after the procedure.
bullet Circumcision changes the way an infant will later experience sex and sexuality. It removes several square inches of functional, healthy tissue including 10,000-20,000, or about half, of the penile nerve endings. It is likely that removal of these nerves and tissue damages the ability to feel sexual pleasure in a way that the affected man will never know. Problems later in life can include lack of sensation, chafing, lack of arousal, frustration, and problems due to insufficient lubrication. Read more.
bullet Circumcision hurts – excruciatingly. The foreskin is highly sensitive tissue that is fused to the head of the infant’s penis, and must be forcibly ripped before being amputated. The procedure sometimes sends infants into shock. Babies who have been circumcised are significantly more likely to have problems breast-feeding, and they demonstrate heightened pain responses months later. Read more.
bullet Men who were circumcised as infants have higher rates of rage, depression, and other psychological challenges than men who were not, as identified by self-assessment and partner assessment. See this article for example.
bullet Female partners of circumcised men reported less pleasure during intercourse, and experience more sexual problems in a study with self-selected subjects. Read the article.
bullet A child who is not subjected to circumcision is likely to fit in with his peers. U.S. circumcision rates are falling, down from 90% in the 1970s to below 60% today.
bullet Some Jewish individuals are opting for alternative ceremonies that do not require cutting called “Brit Shalom.” Read about Brit Shalom.
bullet Proponents of female circumcision argue that U.S. male infant circumcision validates female circumcision. The claim that male circumcision is cleaner or that it should be done for the benefit of future female partners mirrors statements that female circumcision is necessary to keep women "clean" and "acceptable" for their husbands. Read more about the parallels between male and female circumcision.

U.S. Federal law protects female children from genital cutting, modification, or piercing of any kind. No such laws exist to protect boys.

bullet In many African countries, both male and female circumcisions are performed under similar, unhygienic conditions. Around the world, seven times as many boys as girls are circumcised each year and hundreds or thousands of boys die from the procedure. Yet, only deaths from and opposition to female circumcision receive attention in the U.S.
bullet Further, there are 4 categories of genital cutting (or mutilation as we call it when it’s done to women. Most male and female circumcisions fall into class 1 or 2, class 1 being the least severe. Eighty percent of female circumcisions fall into class 2 and involves “Excision of the prepuce with or without excision of part or all of the clitoris,” as defined by the World Health Organization. Male circumcision damages or removes the analogous parts of the male, such as the frenulum, sometimes referred to as the male clitoris, where most of the penile nerves cluster. Thus male circumcision is as bad female circumcision. Read more on the genital mutilation classifications.
bullet Involuntary circumcision violates the human right to an intact body. Read article
bullet Human rights are supposed to be the same for all people, regardless of gender.

To sum up: circumcision is not recommended by any national medical advisory organization in the world; it has surgical risks; removes healthy, sexually functional tissue; is likely to have lifelong physical and emotional consequences; and is practiced discriminatorily on boys. Can we justify this practice? I argue that parents and doctors have no place circumcising children. This choice is rightly the child’s. 

You’d probably like to say that you’re the kind of parent who would protect your daughter from circumcision if she were born in Nigeria or Somalia. Be that kind of parent for your son in America. 

Here are a few more things you could do:

bullet Encourage friends and family to get the facts on circumcision before they have children. Comprehensive medical information is available at http://www.NotJustSkin.org.
bullet Overcome your embarrassment and talk about circumcision. Acknowledge the wounds it has produced for some men, and the need to protect children from unnecessary surgeries. Tell people what you wish your parents had known.
bullet Sign the Ashley-Montagu petition to end genital cutting worldwide: www.montagunocircpetition.org.
bullet Join your local NOCIRC center (you can find it at www.nocirc.org ).
Find more suggestions at NotJustSkin.org.

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Copyright 2005 Ryan McAllister, Ph.D and Dan Sisan, Ph.D, all rights reserved

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CIRCUMCISION RESOURCES ON THE INTERNET

RELATED ARTICLES IN MENSIGHT

Guest Article... by Kristen and Jeffery O'Hara
The effect of male circumcision on the sexual enjoyment of the female partner

Male circumcision, the most commonly performed surgery in the USA, removes 33 - 50% of the penile skin, as well as nearly all of the penile fine touch neuroreceptors. To date no study has investigated whether this dramatic alteration in the male genitalia affects the sexual pleasure experienced by the female partner or whether a woman can physically discern the difference between a penis with a foreskin. The impact that male circumcision has on the overall sexual experience for either partner is unknown.
Go to Article

GUEST ARTICLE... by J. Steven Svoboda
Circumcision: A Violent Ritual in Search of a Rationale
The fact that infant circumcision still happens today is astounding. (This article is principally concerned with non-religious circumcision.) If we are male, when we are just hours or days old, doctors cut off the most sensitive part of our body. The operation is violent, usually performed without anesthesia, and unspeakably painful to the infant. The screams, the shaking, the frantic attempt by the newborn to escape this unexpected and unbearable pain can be truly horrible to watch—let alone experience.
Go to Article

CIRCUMCISION: A BARBARIC PRACTICE, A HUMAN RIGHTS VIOLATION
By J. Steven Svoboda
The simple fact that circumcision can happen in this country is astounding.  When we are days old, doctors cut off the most sensitive part of our body without anesthesia.  The operation is very violent, done without anesthesia, and unspeakably painful to the infant, as anyone who witnesses the event with an open mind has to admit.  The screams, shaking, and frantic attempt by the newborn to escape this unexpected and unbearable pain can be truly horrible to watch, let alone experience.  While societies tend to be blind to the horrors they create themselves, anyone must concede that this is brutal and an act of mutilation.
Go to Article

UNNECESSARY CIRCUMCISION. By George Denniston MD, MDH. ... We now know that circumcision does not prevent masturbation, nor does masturbation lead to insanity. ...  
Go to Article

Infant Circumcision FAQ... from Circumcision Information Resource homepage
What is circumcision? ... What are some reasons that circumcision is performed? Circumcision is primarily performed for cultural or religious reasons. ...
Go to Article

THE END OF CIRCUMCISION IN AMERICA by George Denniston MD, MDH... With the formation of Doctors Opposing Circumcision (DOC), we are proposing to end routine neonatal circumcision in America. ...
Go to Article

Circumcision of Boys: A Serious Male Health Problem by J. Steven Svoboda, Gregory J. Boyle, and Christopher P. Price
Circumcision does not constitute genuine medical treatment.  It violates criminal law, the Canadian Charter of Rights and Freedoms, and also human rights. The health implications are graver than is generally realised, despite clear medical evidence of adverse effects from the pain, significant complications, psychological harm and inevitable prejudice to genital function. There are no clearly demonstrable medical benefits.  The law, the medical profession, and society in general seems to have turned two blind eyes to this serious form of violence against males.
Go to Article

Involuntary Circumcision: The Legal Issues by R. S. Van Howe, J. S. Svoboda*, J. G. Dwyer, and C. P. Price
Circumcision is the amputation of the prepuce from the rest of the penis, resulting in permanent alteration of the anatomy, histology, and function of the penis.[1,2] Recently legal scholars have challenged neonatal circumcision’s legality[3-7] and argued that it constitutes child abuse.[8,9] While this conjecture may seem outlandish to American physicians who tend to a population in which 70% to 90% of the males are circumcised neonatally, such claims have a strong foundation in legal precedent and medico-ethical standards that aim to protect the bodily integrity of persons.
Go to Article

 

 

 

 

 

 

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