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Is it Better to be Circumcised or Uncircumcised?

Published in Medical Decision 3 mins read

The choice of whether to be circumcised or uncircumcised is a complex one with both potential benefits and drawbacks to each. Ultimately, the "better" option depends on individual circumstances, cultural beliefs, religious practices, and personal preferences.

Here's a breakdown of the considerations:

Potential Benefits of Circumcision:

  • Reduced Risk of Certain Infections: Circumcision can decrease the risk of foreskin infections (balanitis) and phimosis (a condition where the foreskin cannot be retracted).
  • Lower Risk of Some STIs: Some studies suggest a reduced risk of certain sexually transmitted infections (STIs) in circumcised men, including HIV. However, the risk reduction is minimal for the STIs most common in the U.S.
  • Improved Hygiene (potentially): Some find that circumcision simplifies hygiene. However, proper hygiene practices can maintain cleanliness regardless of circumcision status.
  • Lower Risk of Penile Cancer: Penile cancer is rare, and circumcision further reduces this already low risk.
  • Reduced Risk of Urinary Tract Infections (UTIs) in infancy: While UTIs are uncommon in males, circumcision slightly lowers the risk in infants.

Potential Drawbacks of Circumcision:

  • Surgical Risks: Circumcision is a surgical procedure and carries risks such as bleeding, infection, and pain.
  • Altered Sensation: Some individuals report altered or decreased sexual sensation after circumcision, though this varies significantly.
  • Cosmetic Concerns: Some may have aesthetic concerns about the appearance of a circumcised penis.

Potential Benefits of Remaining Uncircumcised:

  • Natural Protection: The foreskin provides a natural protective covering for the glans penis.
  • Sexual Function: The foreskin contains nerve endings that contribute to sexual pleasure and function.
  • Avoidance of Surgery: Bypassing the surgical procedure eliminates associated risks.

Potential Drawbacks of Remaining Uncircumcised:

  • Increased Risk of Infections: Uncircumcised men have a slightly higher risk of foreskin infections and phimosis if hygiene is not properly maintained.
  • Higher Risk of Certain STIs (potentially): As mentioned above, some STIs may be slightly more common in uncircumcised men.
  • Potential Hygiene Challenges: Maintaining proper hygiene under the foreskin is essential to prevent odor and infection.

A Note on Newborn Circumcision:

The American Academy of Pediatrics (AAP) states that the health benefits of newborn male circumcision outweigh the risks, but the benefits are not great enough to recommend routine circumcision for all newborns. The decision should be made by parents in consultation with their pediatrician, considering religious, cultural, and personal factors.

In conclusion, there's no universally "better" choice. The decision to circumcise or remain uncircumcised is highly personal and should be made after carefully weighing the potential benefits and risks in consultation with a healthcare professional.

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