Ask the Sexpert: December 10, 2009

Dear Sexpert,

Is it true that uncircumcised men are at a greater risk for sexually transmitted infections?

- Cut and Curious

Dear Cut and Curious,

There are many myths and incomplete truths that pervade discussions of circumcision: the frequency of botched procedures, the sexual benefits or detriments and the effect on the transmission of diseases. The facts, however, are remarkably less exciting than the bizarre rumors. But what is interesting is how a little piece of skin can set off such big (and furious) debates.

Let's start with what we do know. Neonatal circumcision is one of the most commonly performed surgical procedures in the world. Though it has its roots in Jewish tradition, today it is performed on male babies of all different faiths for a myriad of reasons. In the United States, most circumcisions are performed in hospitals by surgeons, but the bris is still a Jewish rite, and a mohel who has been medically trained is capable of performing the usually very simple procedure.

Yet complications do occur, and when they do, they can be significant. Bleeding is not unusual, but it can be serious if the healing process is not well under way several days after the procedure. Removing too little of the foreskin can lead to discomfort and health problems later in life, and removing too much can damage the penis. These facts are touted by people who oppose circumcision, often because they believe it is an unethical act imposed on a child who has no say in the matter.

Advocates of circumcision are quick to note that it is no more likely to be botched than a simple outpatient surgery like the removal of an ingrown toenail. Many recent studies indicate that circumcision may reduce the risk of spreading certain sexually transmitted infections, specifically syphilis and HIV. The National Institutes of Health has gone so far as to endorse circumcision as an effective tool in the fight against AIDS in Africa.

Most of these studies apply exclusively to heterosexual men, however, and monitor only their rates of infection, not their partners'. The verdict on infection in women and homosexual men, not to mention transmission of other infections, is far from definitive. If you are sexually active, the absolute best method of protection remains, as always, the condom - all men, whether they are circumcised or uncircumcised, should wear a condom during penetrative intercourse (and other acts, too) if they want to be safe.

Whether you're cut or uncut shouldn't affect your ability to give or receive pleasure. Circumcision has been around for millennia and will probably be around for millennia more. Rest assured, the debate will rage on, but as long as guys practice good hygiene, that little piece of skin (or lack thereof) makes no difference.

- The Sexpert

‘Sexpert' is written by a team of peer sexual health educators and fact-checked by University health professionals. You can submit questions to sexpert@dailyprincetonian.com. Don't be shy!