It's not as if every single man in the world is circumcised. In the United States where the prevalence of circumcision is high, people are largely unaware that in most parts of the world fewer men and boys are circumcised than those that are.

Hotly debated with regard to overall health and wellbeing, transmission of AIDS/HIV, and sexual performance in general, there seem to be virulent, if sometimes understudied arguments on either side of the circumcision fence.

According to a new Danish study, orgasm difficulties are actually more likely for men who have been circumcised. In addition, the partners of circumcised men reported more frequent dissatisfaction in having their own sexual needs fulfilled by their partners.

This included orgasm difficulties as well as painful sexual intercourse. It should be noted that in Denmark only about 5 percent of men are circumcised.

Another ongoing hotbed of contention is the issue of PE, or premature ejaculation. Since this issue is largely underreported and undertreated, its association with circumcision remains to be explored in depth.

The aim of the Danish study was to find out if there was indeed a correlation between PE and circumcision. It was determined that no conclusive evidence could be found at this point and that further study is needed.

Another area of strong opinion but little hard scientific evidence is the issue of HIV transmission as it relates to circumcision. There have been numerous articles in American media about claims that circumcision prevents HIV transmission.

There are few mainstream media articles that have reported an opposing view.

While opinions are valued, there needs to be sensitivity to the cultural, socio-economic and religious practices associated with families making the decision either to circumcize or not circumcize their newborns.

Particularly in African regions, where the spread of HIV is rampant, the importance of addressing ethico-legal concerns that such assumptions may raise cannot be overestimated.

There is an understandable sense of urgency and haste to find a solution to the HIV pandemic and this haste may take the place of real scientific evidence of circumcision and its health benefits.

This may mean that ethical concerns are given less importance and focus. Such haste may also obscure the need to be attentive to local cultural sensitivities, which vary from one African region to another, in formulating policy concerning circumcision.

In the West, many people feel that the circumcised penis is more aesthetically pleasing, more attractive and "cleaner" looking. These views can tend toward discrimination against men and boys with uncircumcised penises and much of the attitudes presented toward the health issues facing uncircumcised men and boys may stem more from this bias than from any real evidence on the subject.

There are those who claim greater sexual satisfaction both visually and physically with circumcised penises but this is a subjective view and not to be confused with actual fact.

With proper hygiene practices, boys can learn to take care of themselves and avoid any troubles with their uncircumcised penises, so the worry over cleanliness and infection is greatly overexaggerated in many instances.

Sources:

Indications for Circumcision. Retrieved from the internet on February 2, 2012

http://www.circinfo.com/guide_to_decision/indications.html

Medical Studies on Circumcision

Circumcision Resource Center

Retrieved from the internet on February 2, 2012

http://www.circumcision.org/studies.htm

Aimee Boyle is a regular contributor to EmpowHER

Reviewed February 2, 2012

by Michele Blacksberg RN

Edited by Jody Smith