Yesterday, someone asked me whether I thought men with circumcised penises had a better chance of getting women than those who were uncircumcised. I thought this was an interesting question!
After doing some research, here is my conclusion:
YES -- A circumcised penis improves a man's chances of getting laid (1) by reducing his risk of contracting a medical conditions that will impede his ability to have sex, (2) by increasing a woman's pleasure during sex, and (3) by increasing his ability to last longer in bed.
Now for the data to back this up!
Medical Benefits to Circumcision
There are many medical benefits to neonatal circumcision of a penis. Tobian, Gray and Quinn (2010) found that circumcision reduces a male's risk of acquiring HIV by 55%, genital herpes by 25%, genital ulcerations by 47%, and cancerous HPV by 33%. Morris and Kreiger (2017) also found that the risk of contracting balanitis and phimosis, which are fungal inflammatory conditions of the glans penis and foreskin associated with a 3.8-fold increase in risk of penile cancer, drops by 68% in those with circumcised penises (2017b). Both balanitis and phimosis result in pain and bleeding of the penis (Edwards, 1996). In 1999, the American Academy of Pediatrics also found circumcision to reduce a male's risk of contracting urinary tract infections.
In females, there are also several medical benefits to selecting male partners with circumcised penises. Stockman (2012) found a 28% reduction in risk of acquiring cancerous HPV, a 40% reduction in the risk of bacterial vaginosis and a 48% reduction in risk of trichomoniasis. Trichomoniasis is a sexually transmitted disease (STD) associated with preterm birth and HIV acquisition and transmission (Hillier, 2010). Female sexual partners of circumcised men were also found to have reduced risk of cervical cancer (Male Circumcision, 2002) and chlamydial infection (Castellsague et al., 2005).
Sexual Benefits to Circumcision
In males, Krieger et al. (2008) found that men circumcised as adults reported no increase in sexual dysfunction when compared to their uncircumcised peers. Sorrells et al. (2007) also found circumcision to increase the sensitivity threshold of the penis, or, in other words, to increases a man's ability to last longer in bed. These results were also corroborated by Senkul et al. (2004) which found increased ejaculatory latency time (i.e., increased ability to delay ejaculation) in males after circumcision. In addition, increased sexual prowess (Immerman & Mackey, 1997) and range of sexual practices enjoyed (Laumann. Masi, & Zuckerman, 1997) were higher in circumcised males. Finally, a sample of over ten thousand Australian men aged 16–59 found that circumcised men were less likely to have trouble keeping an erection and less likely to experience physical pain during intercourse (Richters et al., 2006).
In females, a sexual satisfaction study in Uganda found that 97% of female partners reported either no change or improved sexual satisfaction after their male partner was circumcised (Kigozi, Godfrey, et al, 2009). A study by Kreiger et al. (2007) found 92% of female partners to report being "very satisfied" after their partners were circumcised, with another 5% being "somewhat satisfied." Two other studies conducted in Malawi and Zambia, respectively, also found females to report greater sexual satisfaction with a circumcised partner (Zulu et al., 2015; Shacham, Godlonton & Thornton, 2014).
Contraindications to Circumcision
A recent meta-analysis by Morris and Krieger (2017) did find weak evidence suggesting that circumcision may be associated with increase in meatal stenosis (MS), a condition that causes pain and redness during urination in males; however, the increase in risk compared to uncircumcised males is less than 1% and can be reduced further with the application of petroleum jelly.
In addition, slightly more males in a study conducted in South Korea reported post-circumcision masturbation and sex to be less pleasurable due to decreased sensitivity or penile scarring than those who reported either no change or an increase in pleasure and ease during sex and masturbation (Kim, DaiSik, & Pang, 2007). These findings are likely due to the increase in the penis' sensitivity threshold (Sorrells et al., 2007) and ejaculatory latency time (Senkul et al., 2004).
Who is least likely to be circumcised?
According to the District of Colombia Department of Health (2011), African American and Hispanic populations in the United States have the lowest rates of male circumcision and disproportionately higher rates of viral STIs. Leibowitz et al. (2009) noted the decrease in Medicare coverage for male circumcision as a potential cause.
Thoughts?
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Citations
- American Academy of Pediatrics Task Force on Circumcision: Circumcision policy statement. (1999). Pediatrics. 1999;103(3):686–693.
- Castellsague, X., Peeling, R.W., Franceschi, S., de Sanjose, S., Smith, J.S., Albero, G., Diaz, M., Herrero, R., Munoz, N. and Bosch, F.X. (2005). Chlamydia trachomatis Infection in Female Partners of Circumcised and Uncircumcised Adult Men. American Journal of Epidemiology, 162, 907-916. https://doi.org/10.1093/aje/kwi284
- Edwards, S. (1996). “Balanitis and Balanoposthitis: A Review.” Sexually Transmitted Infections, vol. 72, no. 3, 1996, pp. 155–159., https://doi.org/10.1136/sti.72.3.155.
- Hillier, Sharon (2010). “Trichomoniasis.” Oxford Textbook of Medicine, 2010, pp. 1142–1144., https://doi.org/10.1093/med/9780199204854.003.070813_update_001.
- Immerman RS, Mackey WC. A biocultural analysis of circumcision. Soc Biol 1997;44:265–75.
- Kigozi, Godfrey, et al. “Sexual Satisfaction of Women Partners of Circumcised Men in a Randomized Trial of Male Circumcision in Rakai, Uganda.” BJU International, vol. 104, no. 11, 2009, pp. 1698–1701., https://doi.org/10.1111/j.1464-410x.2009.08683.x.
- Kim, DaiSik, and Pang (2007). “The Effect of Male Circumcision on Sexuality.” BJU International, vol. 99, no. 3, 2007, pp. 619–622., https://doi.org/10.1111/j.1464-410x.2006.06646.x.
- Krieger, Bailey, Opeya, BAyieko, Opiyo, Omondi, et al. (2007). Adult male circumcision outcomes: experience in a developing country setting. Urol Int, 78 (2007), pp. 235-240
- Krieger JN, Mehta SD, Bailey RC, et al. (2008). Adult male circumcision: effects on sexual function and sexual satisfaction in Kisumu, Kenya. J Sex Med. 2008;5(11):2610–2622.
- Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. Prevalence, prophylactic effects, and sexual practice. JAMA 1997;277:1052– 7.
- Leibowitz, Arleen A., et al. “Determinants and Policy Implications of Male Circumcision in the United States.” American Journal of Public Health, vol. 99, no. 1, 2009, pp. 138–145., https://doi.org/10.2105/ajph.2008.134403.
- “Male Circumcision, Penile Human Papillomavirus Infection, and Cervical Cancer.” New England Journal of Medicine, vol. 347, no. 18, 2002, pp. 1452–1453., https://doi.org/10.1056/nejm200210313471816.
- Morris, B. J., & Krieger, N. (2017a). “Does Circumcision Increase Meatal Stenosis Risk?—a Systematic Review and Meta-Analysis.” Urology, vol. 110, 2017, pp. 16–26., https://doi.org/10.1016/j.urology.2017.07.027.
- Morris, B. J., & Krieger, N. (2017b). “Penile Inflammatory Skin Disorders and the Preventive Role of Circumcision.” International Journal of Preventive Medicine, vol. 8, no. 1, 2017, p. 32., https://doi.org/10.4103/ijpvm.ijpvm_377_16.
- Richters J, Smith AM, de Visser RO, Grulich AE, Rissel CE. Circumcision in Australia: Prevalence and effects on sexual health. Int J STD AIDS 2006; 17:547–54.
- Senkul T, Iser IC, Sen B, KarademIr K, Saracoglu F, Erden D. Circumcision in adults: Effect on sexual function. Urology 2004;63:155–8.
- Stockman, J. A. (2012). Effect of circumcision of HIV-negative men on transmission of human papillomavirus to HIV-negative women: A randomised trial in Rakai, Uganda. Yearbook of Pediatrics, 2012, 267–269. https://doi.org/10.1016/j.yped.2011.06.064
- Sorrells ML, Snyder JL, Reiss MD, Eden C, Milos MF, Wilcox N, Van Howe RS. Fine-touch pressure thresholds in the adult penis. BJU Int 2007;99: 864–9.
- Tobian, A. A., Gray, R. H., & Quinn, T. C. (2010). Male circumcision for the prevention of acquisition and transmission of sexually transmitted infections. Archives of Pediatrics & Adolescent Medicine, 164(1). https://doi.org/10.1001/archpediatrics.2009.232
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