Saturday Evening Post December 1981 Circumcision Publication

The following images are from the December 1981 publication of the Saturday Evening Post. With this material in print, this issue became the first of its kind to highlight the horrors of genital cutting upon healthy newborn babies in the United States. The images that accompanied the articles were later sold to Rosemary Romberg, who has shared them in full on her website Peaceful Beginnings from Rosemary. Romberg is the author of the 1985 book, Circumcision: The Painful Dilemma, which can be read in full here online, or obtained in print on Amazon.

graphic courtesy of Intact Michigan

Cutting Culture

We are living in a time and place where parents today have grown up deeply immersed within a cutting culture. This comes through in everything we do, say, think, and the ways in which unnecessary infant pain and suffering are callously laughed at or ignored on a national scale. The items shared here are sociological snapshots of this point in U.S. history. They are not meant to shame those who did not know better -- we all make mistakes, we all have room to grow in our parenting journeys. They are meant to be an eye-opening example of this day and age, and a mirroring of what will soon hopefully be a horrific time long gone. Unnecessary forced genital cutting of any human being is brutal and leaves lasting impacts long after the knife is put away.

This is one battle that no newborn should be forced to survive...
Your son is not a warrior. He is an innocent baby desperate for your love and gentle care.

No one needs endure such things - not moms, not babies. Mothers: listen to your maternal instinct - protect your baby! These tears are unnecessary when babies are kept as they come into this world - perfect and complete.

This is not the way that any brand new, tender life should be welcomed to the world - with strapped legs, probes, and scalpels slicing the genitals. Any human being - especially one who cannot comprehend the horror - would want to return to a "happy place" far, far away from such madness.

How plastibell circumcision happens: 

Penile probing as part of circumcision (adult content):

Keep that smile on your son's face - keep him intact.

If the brutality of genital cutting on the most innocent of human beings does not move you into action, something may be wrong... The life-changing horrors are evident in every fiber of this little one's face.

For a newborn baby: 
1 ounce of blood loss results in hemorrhage. 
2.3 ounces of blood loss can result in death. 
Don’t take this chance. Keep your son intact. 

Left out at a baby shower held this past weekend. There are few words that would do justice here... Please, research the many, many reasons that all babies (regardless of sex) want to keep all of their full and functioning genitals at birth and beyond.

US House Passes Religious Freedom Bill Protecting Circumcision, Ritual Slaughter:

Forced genital cutting without medical necessity is something that no child of any age should have to survive. There are few places outside the U.S. where such a #CuttingCulture is seen, but Davao City, Philippines is one. 

 In January of this year, we sent materials to two clincians working in the Philippines, thanks to your support of SOS (, so that families there receive information to keep their sons (of all ages) intact. Both clinicians told us that many want to cut because they believe that it is what Americans do...

Too many Americans are unaware of what happens to baby boys every day, every hour, in this nation. Both behind hospital doors, and in family homes. All babies, regardless of their parents' chosen faith, are equally deserving of the basic human right of genital autonomy. [Graphic by Anthony Webster, Intact Massachusetts

Last month, the Israeli Health Ministry, headed by ultra-Orthodox Minister, Rabbi Yakov Litzman, called for an end to Metzitzah B’Peh (the circumcision ritual of oral suction by mouth that has killed numerous babies in the United States due to resulting herpes cases). 

Further resources by/for Jewish families: 

 Talking Jewish Circumcision (Especially when you aren't Jewish):

For this public post in Nevada, there simply are no words...

5lb13oz preemie in a West Virginia NICU, struggling to gain weight and surive, was cut today and now faces further turmoil. Things like this are simply unimaginable. One day we will look back at what we do to babies now with horror, and wonder how we ever lived with ourselves as a cutting nation.

"This is a video of this little baby right after nurses brought him back to his parents. His fists are clenched, his brow is furrowed, and his breathing is strange, and he's whimpering."  No, 'all the boys' will not thank anyone for cutting the best part of their penis off... Tragedy in a cutting culture. 

What boys and men do thank parents for is protecting them and granting them full and functioning genitals for a lifetime.  More men speak:


The Cruelest Cut: Circumcision Fox News Report

This report briefly mentions why Americans started circumcising -- learn more at:
http://www. noharmm. org/docswords. htm

The report also briefly mentions the implications circumcision has on adult men's sexuality. "The doctors said that Viagra is the medical profession's apology for circumcision..."

The U.S. is the only country that circumcises for no medical or religious reason. "As soon as all insurance companies in the U.S. stop paying for this harmful procedure, doctor's will stop doing it."

Circumcision in America

By Debra S. Ollivier
First published by Salon (1998). Reposted with permission.
Read more from Ollivier here at Salon.


When I told people that our newborn son would not be circumcised, I didn't realize that a tiny but vital part of his penis would touch off deeply held convictions about cultural mores, aesthetics, psychology, hygiene, father-son relations, American identity and thousands of years of biblical traditions. In fact, I hadn't given penises much thought since my teenage years, when every penis was a circumcised penis and the only issue of overriding concern as the tentative probings of adolescence bloomed into full-blown sexuality was: "How does this thing work?" Years later, I was given a detailed, hand-etched poster called "Penises of the Animal Kingdom"; in this vast forest of mammalian genitalia the only thing more striking than the banality of man's penis next to that of the 20-foot gray whale was the fact that all of them, including man's, were intact. Aside from this brush with reality, however, the mushroom leitmotif of the circumcised penis remained the unequivocal, unquestioned status quo of my youth and of all my peers. It was the uncircumcised penis, with its strange fleshy retractability, that was somehow freakish, a slightly vestigial aberration, like being born with a tail or a set of gills.

Years of living in Europe and being married to a French (intact) Catholic changed all that. Because only Jews and Arabs practice routine circumcision in Europe -- in fact, the United States is the only country in the industrialized world to practice it across the board -- I eventually grew so accustomed to the intact penis that a circumcised one now looks startlingly bereft. Still, when I told people in the States that our son would not be circumcised it was as if, in keeping his little foreskin intact, I was committing a perfidious impropriety: refuting both my Jewish and American identity and, in so doing, robbing my son of both. For all those who expressed their convictions, however -- the astonished Jewish relative, the slightly repelled girlfriend, the perturbed American husband -- a number of questions hung in the air, unanswered. Why, exactly, do we circumcise? How did circumcision evolve from a strictly Jewish and Muslim ritual to a standard medical procedure performed on a vast majority of American males, irrespective of religion? Why is the United States the only Western nation in the world to practice it routinely, despite overwhelming evidence debunking medical claims and enduring myths? More important, what exactly is the foreskin, what happens when we remove it and why do we continue to opt for circumcision?

It doesn't take much to realize that nature didn't intend the foreskin and the penis to be separated at birth. Try retracting the foreskin of a newborn's penis and you're struck by the steadfast, tenacious grip it has on the glans, or head. The foreskin is sealed to its bounty like a silo, and only slowly, over the years, yields to full retractability. But it's far more than just a sheath. The foreskin contains thousands of highly sensitive sensory receptors called Meissner corpuscles, which are more abundant there than in any other part of the penis. Richly endowed with a profusion of blood vessels, it also has a ridged band of peripenic muscles that protects the urinary tract from contaminants, and an undersurface lined with mucocutaneous tissue found nowhere else on the body, which contains ectopic glands that produce natural emollients and antibacterial proteins similar to those found in mother's milk. With its frenar ridges and its thousands of nerve endings, the foreskin not only protects the glans, which in an intact male is extremely sensitive, it also accounts for roughly one-third of the penis' sexual perceptivity. In short, evolution has seen to it that the penises of all mammals come protected in a remarkably fine-tuned and responsive foreskin.

After nine months of infinitely complex and elegant work at literally becoming whole persons, however, the majority of American newborn males have their foreskins removed. [Editor's Note: The CDC reported the rate of male circumcision dropped from 56% in 2006 to 32% in 2009. Today the majority of newborn American males remain intact.] Curiously, in a culture where the rights of every living thing are vigorously endorsed by the vox populi, most parents opt neither to view nor to question the mechanics of this procedure. Dr. Hiram Yellen, one of the two inventors of the Gomco Clamp, a tool used in circumcision, describes the standard procedure for circumcision in the following passage:
"... the prepuce is put on a stretch by grasping it on either side of the median line with a pair of hemostats. No anesthesia is used. A flat probe, anointed with Vaseline, is then inserted between the prepuce and the glans ... In cases where the prepuce is drawn tightly over the glans, a dorsal slit will facilitate applying the cone of the draw stud (the bell) over the glans. After anointing the inside of the cone, it is placed over the glans penis ... The prepuce is then pulled through and above the bevel hole in the platform and clamped in place. In this way the prepuce is crushed against the cone causing hemostasis. We allow this pressure to remain five minutes, and in older children slightly longer. The excess of the prepuce is then cut with a sharp knife."
Within minutes, three feet of veins, arteries and capillaries, 240 feet of nerves and more than 20,000 nerve endings are destroyed; so are all the muscles, glands, epithelial tissue and sexual sensitivity associated with the foreskin. Finally, what nature intended as an internal organ is irrevocably externalized.

Perhaps for parents who don't watch a circumcision (the majority don't; the minority that do wish they hadn't), the reality here -- the strapping, forcing, cutting, bleeding, stripping, slicing and creating of immeasurable pain -- is a little like the Bomb: something you'd rather not think about unless you absolutely, positively must. But the fact remains that millions of American newborns routinely undergo this procedure, and most parents don't really know why. How did this come to pass?

Research into circumcision's history suggests that it dates back to around 3000 B.C., when it was performed in ancient Egypt as a mark of slavery and as a religious rite. Aside from Jews and Muslims, however, people considered circumcision to be a repugnant form of genital mutilation, and both the Greeks and Romans passed laws forbidding its practice. Thus, for a few millennia at least, most men worldwide enjoyed the virtues of an intact penis. In fact, routine circumcision didn't take off in America until the Victorian era, and didn't reach cruising altitude until the Cold War years, when technology, medicine and big business came together in the interest of institutionalized birthing.

The systematic removal of the foreskin owes its ubiquity in America to one man named Dr. Lewis Sayre, once known as the "Columbus of the prepuce" by his colleagues. In 1870, Sayre drew a correlation between the foreskin and an orthopedic malady in a young boy. Through a series of bizarre medical experiments, Sayre and his colleagues eventually determined that links existed between the foreskin and a vast range of ailments that included gout, asthma, hernias, epilepsy, rheumatism, curvature of the spine, tuberculosis and elephantiasis. But what drove circumcision deeper into the bedrock of pediatric medicine was the strident belief that masturbation, thought to be the root of everything from bed-wetting to intractable forms of insanity and mental retardation, could be "cured" with circumcision.

Dr. Peter Charles Remondino, a well-known physician, public health official and champion of universal circumcision, typified the Zeitgeist. Remondino wrote that the foreskin, which he referred to as an "unyielding tube" and "a superfluity," made the intact male "a victim to all manner of ills, sufferings ... and other conditions calculated to weaken him physically, mentally, and morally; to land him, perchance, in jail, or even in a lunatic asylum."

Dr. John Harvey Kellogg, a well-known fundamentalist health reformer and medical journalist (his 1888 "Plain Facts for Old and Young" included roughly 100 pages dedicated to "Secret Vice [Solitary or Self Abuse]") who went on to create the world's preeminent corn flake, was more direct in his approach. "A remedy for masturbation which is almost always successful in small boys is circumcision," he wrote. "The operation should be performed by a surgeon without administering an anesthetic, as the brief pain attending the operation will have a salutary effect upon the mind, especially if it be connected with the idea of punishment. In females, the author has found the application of pure carbolic acid to the clitoris an excellent means of allaying the abnormal excitement."

As astonishing as it may seem, Kellogg's views were shared by most prominent practitioners of the time. In Robert Tooke's popular book "All About the Baby," published in 1896, circumcision is recommended for preventing "the vile habit of masturbation." And Dr. Mary Melendy, author of "For Maidens, Wives and Mothers," wrote that masturbation "lays the foundation for consumption, paralysis and heart disease ... It even makes many lose their minds; others, when grown, commit suicide." Appealing to parents who might question the protracted afflictions associated with masturbation, Melendy warned, "Don't think it does no harm to your boy because he does not suffer now, for the effects of this vice come on so slowly that the victim is often very near death before you realize that he has done himself harm."

Circumcision was not only bound up with deeply irrational fears about masturbation at the turn of the century; it was also tied to sociocultural changes as vast waves of immigration flooded American cities. Circumcision became a mark of social class that distinguished gentrified, "real" Americans from the "insalubrious" immigrant masses at a time when cleanliness was synonymous with godliness. Eventually, circumcision staked its claim on the American male and his problematic penis, and became so accepted as the norm that by the early 1900s standard medical textbooks depicted the normal penis without its foreskin. In this highly charged atmosphere, American parents who chose not to circumcise their sons were almost criminally negligent, if not freakishly nonconformist.

By the Cold War era, roughly 90 percent of American males were systematically circumcised at birth. It was simply something you did -- a medical procedure as unquestioned as the cutting of the umbilical cord -- and so deeply entrenched in America that it was upheld as standard practice long after the theories by which it was justified were debunked. People had long forgotten that circumcision was not based on any supreme medical imperative but rather on the fantastically phobic mores of a Victorian society, and the medical establishment did little to clear the smoke on what had become a profitable business. Was this a perception/reality problem, or a morality/reality problem?

It wasn't until the '70s -- after French obstetrician and natural-birthing pioneer Frederick Leboyer's "Birth Without Violence," after extensive studies discrediting longstanding medical claims, after lawsuits that forced hospitals to obtain parental consent before circumcising, and after millions of foreskins had been left on the cutting-room floor -- that Americans (and Jews all over the world) began questioning circumcision.

By 1975, the American Academy of Pediatrics (AAP) had reversed its pro-circumcision stance in "Standards and Recommendations for Hospital Care of Newborn Infants," by stating: "there is no absolute medical indication for routine circumcision of the newborn." And in 1984, it published "Care of the Uncircumcised Penis," which, clearly supporting the intact penis, concluded by saying, "The foreskin protects the glans throughout life." But despite a slow decline in the circumcision rate, accompanied by a new awareness of the rights of newborns -- and despite rigorous campaigning against circumcision by doctors worldwide, in the form of international symposiums, in-depth studies, human rights legislation, information resource centers and more -- circumcision remains the most commonly performed neonatal surgical procedure in America. And in this, America stands alone.


Why is the most "advanced" nation in the industrialized world alone in practicing a disturbing archaism from less enlightened times? In "The Saharasia Connection," Dr. James DeMeo, who calls circumcision "an ancient blood ritual ... that has absolutely nothing whatsoever to do with medicine, health, or science in practically all cases," puts forth this hypothesis: "The fact that so many circumcised American men, and mothers, nurses, and obstetricians are ready to defend the practice in the face of contrary epidemiological evidence is a certain giveaway to hidden, unconscious motives and disturbed emotional feelings about the penis and sexual matters in general."

It remains to be seen to what extent "unconscious motives" are responsible for the perpetuation of circumcision today. However, "emotional feelings about the penis" may very well be knit into the fabric of certain long-standing myths that persist in the United States despite logical or empirical evidence to the contrary. After much verbal intercourse with friends over the years about near misses and close calls with the intact penis, it seems evident that three persistent myths or biases dominate.

The mother of all myths, now locker-room gospel, is that a circumcised penis is more hygienic than an intact one. This comes as no surprise in a culture where the art of sterilization is so pervasive that certain foods have a half-life that probably exceeds that of plutonium. Still, doctors discredited hygiene as an advantage of circumcision years ago. When I asked our pediatrician what I needed to clean my son's intact penis, he replied: "Common sense." The American Academy of Pediatrics (AAP) put it another way: "Good personal hygiene would offer all the advantages of routine circumcision without the attendant surgical risk." (This, of course, is the case for both sexes: Leave any body part unattended for too long and things get, well, unpleasant.) Yet another doctor posited in "Circumcision: A Medical or Human Rights Issue?" that removing the foreskin for hygiene's sake is like removing one's eyelid for a cleaner eyeball.

Another popular and profoundly baffling myth is that circumcision is painless. Studies indicate that those babies who appear to sleep through a circumcision have most likely slipped into a semicomatose state, and a slew of recent studies on newborns, traumatic experience and sensory perception support this hypothesis.

Equally strange is the cultural bias for the aesthetics of a circumcised penis. In moments of free-associative candor, girlfriends have compared the looks of an intact penis to everything from an elephant trunk to a dachshund. The queerness of it was reinforced by the unsettling feeling that it required at best a refresher course on basic anatomy, at worst a whole new sex education, as if an intact man were some sort of Minotaur. To the extent that the circumcised penis is endorsed largely through culturally determined views about hygiene and aesthetics, one wonders if it's not in some odd way a metaphor for America itself: sleek and streamlined, the way we like our cars and buildings, connoting speed and unimpeded verticality; but also surgical and sanitized, and thus thoroughly modern. By contrast, the intact penis is a little too unruly, too Paleolithic, a little too, well, animal. (If penises could walk and talk, the circumcised penis would be a suit and tie, a clean shave and a shoulder-high salute. The intact penis would be a rumpled shirt, a five o'clock shadow and a finger flipping you the bird.)

Either way, passing judgment on an intact penis in America is like passing judgment on a real nose in a country where rhinoplasty is imposed at birth. Quite simply, most Americans have forgotten that an intact penis is actually the norm, and that for thousands of years the only people who were circumcised were Jews and Muslims.

Which leads me to a word about Jews and the penis. When I mentioned to certain relatives that my son would remain as nature intended him, the conversation, once the shock wore off, went something like this:

"But honey, what about the, er, Covenant of Abraham?"

"What exactly is the connection between the Covenant of Abraham and my son's penis?"

"Well, I'm not sure. Let me put Sam on the phone."

Sam wasn't sure about the God-penis-Covenant connection either. Neither was Ruth. Nor Morley. Nor were any of my Jewish friends or relatives.

In fact, the Covenant was a pact between God and Abraham, an expression of both faith and tribal belonging that set the "chosen people" apart, and which has been passed on to all Jews. Jewish identity, however, is not determined by circumcision nor is it passed through the penis. As most Jews know, Jewish identity is passed through the mother, hence the traditional and immemorial Jewish concern about assimilation through intermarriage. The "Encyclopedia Judaica" reaffirms this: "Any child born of a Jewish mother is a Jew, whether circumcised or not." I'm reminded of a Jewish friend who insisted that his son be circumcised despite the fact that his wife was Catholic. "Circumcision," his rabbi reminded him, "will not make your son Jewish." (His wife's conversion to Judaism, however, would.)

Despite all this, the issue of Jewish identity, in which circumcision is inextricably bound up, remains one of the most complex, thorny and eternally debated subjects around. Volumes have been written on the subject, and everything is up for personal interpretation. With this in mind, and given that a vast number of Jews do not know what the Covenant really is -- their sons are circumcised in hospitals without a bris; they are not Orthodox, and do not keep kosher -- one can only surmise that circumcision is not an act of religious conviction but rather one of deeply entrenched cultural conformity rooted in the deep past. In fact, a cruel irony lingers here: Originally, biblical circumcision involved cutting only the tip of the foreskin (called brith milah), which still left enough foreskin for certain Jewish men to stretch it forward and pass as gentiles. This gave rise to a rabbinical movement called Brith Periah. Much more radical in nature, Brith Periah essentially removed the entire foreskin, making it impossible for Jews to emulate gentiles. Modern circumcision is based on this much more radical procedure of Brith Periah -- a strange medical twist that has leveled the playing fields of the penis among Jews and gentiles alike.

Jew or gentile, to the extent that "God" is behind circumcision and the oft-cited Covenant, one can only wonder: Why ordain the removal of such a fundamental part of the penis? And why the penis? Here the views of Moses Maimonides, a medieval Jewish philosopher, rabbi and figure in the codification of Jewish law, are enlightening in a more universal context. In "Guide to the Perplexed," Maimonides wrote that the commandment to circumcise "has not been prescribed with a view to perfecting what is defective congenitally, but to perfecting what is defective morally." Celebrated for his chastity by the sages, Maimonides elaborates: "With regard to circumcision one of the reasons for it is, in my opinion, the wish to bring about a decrease in sexual intercourse and a weakening of the organ in question, so that this activity be diminished and the organ be in as quiet a state as possible ... The fact that circumcision weakens the faculty of sexual excitement and sometimes perhaps diminishes the pleasure is indubitable. For if at birth this member has been made to bleed and has had its covering taken away from it, it must indubitably be weakened."

Maimonides' views evoke not only the Victorians, the doctrines that underlie female circumcision and the "unconscious motives" Dr. DeMeo wrote about: They also hark back to the forbidden fruits of sex and religion that have festered in the gardens of earthly delight ever since Adam and Eve discovered the apple.

Considering the troubling history of circumcision in light of my own son's corpulent little penis, I'm reminded that it is the choice -- and in some cases, the courage -- of American parents that will determine whether the next generation of American men reclaims what is rightfully theirs to begin with. In this regard it might be the late Dr. Benjamin Spock who stands for conventional wisdom at its best. When asked about circumcision in an interview with Redbook in 1989, he said quite simply, "My own preference, if I had the good fortune to have another son, would be to leave his little penis alone."

Photo courtesy of peaceful parenting mom, Christina King, of Intact Iowa
Intact related onesies and tees from Made By Momma.

Additional resources (scholarly books, articles, websites) on the prepuce, intact care and circumcision at Are You Fully Informed? The Pros and Cons of Infant Circumcision

How Male Circumcision Impacts Your Love Life

By Dr. Christiane Northrup
First printing: 2004; Posted with permission.

Circumcision, the surgical removal of the male prepuce (foreskin), usually during the first few days after birth, is an emotionally charged subject that most people are reluctant to discuss openly, let alone objectively.

I know. As an obstetrician-gynecologist, I've performed hundreds of circumcisions, and I've been on the front lines of the circumcision debate for more than 25 years.

Though I've provided information on circumcision for expectant couples for years, it long ago became clear to me that the decision about whether or not to circumcise a boy is made from an emotional not a rational place. Still, the tide is turning as more and more people, both within and without the medical profession, rethink the entire subject.

In the spirit of science and compassion, I urge you to read this article with an open mind. It may well change the entire way you view circumcision.

A Risky, Painful, and Unnecessary Procedure
The sad truth is that throughout most of the 20th century, the American medical community has focused on finding reasons to remove the foreskin of newborn males instead of acknowledging Mother Nature's wisdom in including this highly sensitive tissue. Happily, more and more individuals are questioning circumcision's necessity and acknowledging its potential harm. Since 1980, the national circumcision rate has dropped by 30 percent, and an increasing number of physicians are finding the courage to refuse to perform the procedure.

This is precisely what happened in England, a nation formerly obsessed with circumcision. In the 1940s, following the release of information that supported leaving male babies fully intact, England's circumcision rate plummeted almost overnight to less than I percent. Similar information is beginning to gain ground here in the United States, so I'd like to share it with you.

To start with, babies feel pain the same way adults do. But the prevailing wisdom at medical schools has long been that newborns can't feel pain and therefore don't experience it during their circumcisions.

When I was a medical student, this is what I heard from my professors as well, although common sense told me it wasn't true. I watched placid newborns begin to scream and gasp in pain as the circumcision procedure began. Fortunately, it is finally accepted as a medical fact that circumcision is extraordinarily painful for newborns, who are born with full nocioceptive (pain sensing) ability.

Furthermore, routine newborn circumcision has no health benefit. Though a wide variety of health advantages have been attributed to circumcision--decreases in the incidence of cervical cancer, AIDS, sexually transmitted diseases, and male urinary tract infection--the most up-to-date research has refuted all these justifications. In fact, the American Academy of Pediatrics issued a policy statement in 1999 saying there is not sufficient scientific data to recommend routine newborn circumcision. Given this, the number of insurance companies willing to pay for the procedure is also decreasing.

Though circumcision is relatively easy to perform, like any surgical procedure it has risks. The most common complication is hemorrhage, which is reported in as many as 2 percent of cases. Though rare, more disastrous complications can and do occur: "degloving" of the penile skin, which requires skin grafts and results in loss of sensation; destruction of the penis; and death from hemorrhage or infection.

Because there are no proven benefits for the procedure in the first place, these complications are all the more tragic. As respected obstetrician and gynecologist George Denniston points out, "Circumcision violates the first tenet of medical practice: 'first, do no harm.' According to modern medical ethics, parents do not have the right to consent to a procedure that is not in their son's best interest. The removal of a normal, important part of the male sexual organ is not in their son's best interest."

Intact is the Norm

The vast majority of the world's men, including most Europeans and Scandinavians, are intact. And before 1900, circumcision was virtually non-existent in the United States as well--except for Jewish and Muslim people, who've been performing genital cutting for hundreds of years for religious reasons.

Believe it or not, circumcision was introduced in English-speaking countries in the late 1800s to control or prevent masturbation, similar to the way that female circumcision was promoted and continues to be advocated in some Muslim and African countries to control women's sexuality. As the absurdity of this position became apparent, new justifications, such as the prevention of cervical and penile cancers, received the blessing of the medical establishment. But these are justifications that science has been unable to support. Nor is there any scientific proof that circumcision prevents sexually transmitted diseases.

Also contrary to popular belief, the intact penis requires no special care. Many parents get hung up about how to "clean" the intact penis in an infant. Some are even told to retract the foreskin. This can cause pain and scarring, and it isn't necessary. The foreskin often does not retract naturally until a child is older--sometimes not until he is a teenager--but a boy can easily stretch and retract his foreskin gently over several months' time.

The Pleasures of Natural Sex
I've always felt that the male foreskin, one of most richly innervated and hyper-elastic pieces of tissue in the male body, is there for a reason. Until recently, I didn't know exactly what that reason was. But now, thanks to Kristen O'Hara's well-researched book, Sex as Nature Intended It, I finally understand the reasons for the design of the penis and foreskin and how this design ensures optimal penile function, including this organ's ability to satisfy the female sexually. Most American women have not personally experienced the sensation of sex with an uncircumcised man because the majority of men in this country, especially those born before 1980, have been circumcised. But Kristen O'Hara's long-ago affair with an uncircumcised man was the spark that touched off years of research, the result of which is her eye-opening book. Consider the following:

The primary pleasure zones of the natural (intact) penis are located in the upper penis, which includes the penis head, the foreskin's inner lining, and the frenulum--the hinge of skin that connects the foreskin to the head of the penis. When a male is circumcised, some of the most erotically sensitive areas of the penis are removed: the foreskin that normally covers the head of the penis (the glans) and some or all of the frenulum.

The frenulum contains high concentrations of nerve endings that are sensitive to fine touch. The glans was designed by nature to be covered all the time except during sexual activity. Upon erection, both foreskin layers unfold onto the upper penile shaft, leaving the highly innervated frenulum, glans, and inner lining exposed and readied for sexual activity. This is one of reasons why the penile tip is the focus of sexual excitement.

New scientific evidence shows that highly erogenous tissue equivalent to the female clitoris is located in the core of the penis, beneath the corona (the hook-like head of the penis) and coronal tip. This sensitive tissue extends all the way down the length of the penile shaft to the pubic mound, where it branches and continues into the pelvis and onto the pelvic bone in a manner analogous to the anatomy of the female clitoris. Though the penis contains nerves that are sexually excited by pressure, its tip contains the greatest density of these nerves and is therefore the most sexually responsive part, just as the tip of the clitoris is the most sensitive part. And like the tip of the female clitoris, the tip of the penis is sexually stimulated by the pleasurable sensations created by the massaging actions of the movement of the foreskin upon it during intercourse.

During intercourse, these exquisitely sensitive nerves of the upper penis both excite a man sexually and control the rhythm of penile thrusting. "When the natural penis thrusts inward, the vaginal walls brush against the erotically sensitive nerves of the glans, the foreskin's inner lining, and the frenulum, causing these nerves to fire off sensations of pleasure;" writes O'Hara. "The inward thrust of the penis keeps these pleasure sensations ongoing, but after these nerves have fired, the penis senses a reduction in pleasurable feelings, so it stops its inward thrust and begins its outward stroke in search of stronger sensations.

"During the outward stroke, the foreskin's outer layer slides forward to cloak the nerves of its inner lining, while the inner lining itself covers the frenulum" she continues. "Once covered, these nerves are allowed to rest from stimulation until the next inward thrust. As the foreskin moves forward on the shaft, it bunches up behind the coronal ridge, and may sometimes roll forward over the corona, depending upon the length of the stroke. This applies pressure to the interior tissue of the corona and coronal ridge where nerves that are excited by pressure send a wave of sexual excitement throughout the upper penis. The natural penis receives pleasure sensations from one set of sensory nerves on the inward thrust and a different set of nerves on the outward stroke. It can maintain a continuous stream of highly pleasurable sensations by maintaining the right rhythm."

And intriguingly, because the area of sexual sensation is so localized in the tip, the penis only has to travel a short distance to excite one set of nerves or another. In other words, it doesn't have to withdraw very far to receive pleasure on the outward stroke. This allows the penis to stay deep inside the vagina, keeping the man's pubic mound in close and frequent contact with a woman's clitoral area, which increases her pleasure and a sense of closeness.

As part of the research for her book, Ms. O'Hara surveyed approximately 150 women--enough to make the study statistically reliable. Here's how one survey respondent described sex with a natural partner:

"Sex with a natural partner has been to me like the gentle rhythm of a peaceful but powerful ocean--waves build, then subside and soothe. It felt so natural, as if it were filling a deep need within me, not necessarily for the act of sex, but more in order to experience the rhythm of a man and woman as they were created to respond to each other."

The Sexual Consequences of Male Circumcision
After circumcision, the exposed head of the penis thickens like a callus and becomes less sensitive. And because erotically sensitive areas of the penis have been removed, the circumcised penis must thrust more vigorously with a much longer stroke in order to reach orgasm through stimulating the less sensitive penile shaft. In her study of women who have had sexual experiences with both natural and circumcised men, O'Hara notes that respondents overwhelmingly concurred that the mechanics of coitus were different for the two groups of men. Seventy-three percent of the women reported that circumcised men tended to thrust harder, using elongated strokes; while intact men tended to thrust more gently, to have shorter strokes, and to maintain more contact between the mons pubis and clitoris.

O'Hara's research makes the following sexual comparisons between the natural and circumcised penis.
The natural penis may be more comfortable for the vagina than the circumcised penis. The coronal ridge of the natural penis is more flexible; O'Hara likens it to the resiliency of Jell-O. The circumcised penile head is considerably harder--overly firm and compacted like an unripe tomato. This is because circumcision cuts away 33-50 percent of penile skin. As a result, the skin of the penile shaft can get stretched so tightly during an erection that it pulls down on the skin covering the glans, compressing the tissue of the penis head. The abnormally hardened coronal ridge can then be very uncomfortable to vaginal tissue during intercourse.

Women sometimes experience a scraping feeling with each outward stroke and even report discomfort after intercourse or even the next day. The brain makes pain-relieving endorphins that may partially block any discomfort during intercourse itself. As a gynecologist, I can tell you that painful intercourse is a very common symptom in women, many of whom blame themselves or who feel that something is wrong with their sexual response.

The give of the natural penis, by contrast, allows for more bend and flex of the organ in the vagina, adding to a woman's pleasure and comfort. The abundant skin of the natural penile shaft further cushions the force of the coronal ridge in the vagina. In addition, the mobile skin of the penis is "grasped" by the ridges of the vaginal mucosa and held in place. The bunching and unbunching of penile skin during intercourse enhances a man's pleasure, but it also excites the woman. As one of O'Hara s survey respondents reported: "What I noticed was that my natural man got a lot of pleasure from deliberate, slow insertion and backing out because his foreskin would fold back and forth, which would excite me also."

Circumcised sex may cause the vagina to abnormally tense up and decrease its lubrication. Women report more problems with lubrication when having sex with circumcised men, possibly because of irritation from the harder tip and involuntary tensing against it, and also because the longer stroke length tends to remove lubrication from the vagina. Often an artificial lubricant is necessary.

Intercourse may also be painful for the circumcised man because his penis scrapes against the ribbed structure of tensed-up vaginal walls and becomes over stimulated from constant pressure. The degree of discomfort, if any, will depend upon the tightness of the man's shaft skin, the vigor of his thrusting, the duration of intercourse, and the amount of lubrication.

Circumcision may cause a man to work harder to achieve orgasm, resulting in emotional and physical distancing from his partner. When a circumcised man has sex, he may have to concentrate intensely on the erotic sensations he is receiving while simultaneously blocking out any uncomfortable sensations. Survey respondents often reported that their circumcised partners seemed to have to work too hard to achieve orgasm. And because of the erotic tissue that has been removed, he can't enjoy the sensations leading up to orgasm or his partner's responses.

O'Hara makes a compelling argument that circumcised intercourse may frustrate the primordial subconscious that seems to know "real sex ain't this way." She also suggests that each circumcised experience has the potential to buildup negative memory imprints so that over time, repeated sexual encounters with the same partner may lead to negative feelings between the two that carry over into everyday life. If this sounds like an extraordinary leap, consider the question that O'Hara asks in her book: "Other things being equal, which couple is more likely to stay together--one enjoying delicious, satisfying sex or one whose sexual pleasure is being compromised in many ways?"

The Solution: Foreskin Restoration
Fortunately, there are alternatives for men (and their partners) who want to experience natural sex. This quiet revolution, called Foreskin Restoration, can be achieved through plastic surgery or non surgical methods. The latter work on the principle that skin stretches and grows under pressure just like abdominal skin when it stretches to accommodate pregnancy. According to O'Hara, whose husband stretched his foreskin over the course of several years, their sex life is better than ever, and neither can believe the difference that foreskin restoration has made. Many other men and women attest to this improvement as well. 

For more information, the following resources can be helpful.

National Organization of Restoring Men (NORM) Web site:

The Joy of Uncircumcising! A restoration manual and more, by Jim Bigelow, Ph.D. (Contact UNCIRC, POB 52138, Pacific Grove, CA 93950).

Restore Yourself! A Handy Kit for Circumcised Men from NOCIRC of Michigan Web site:

TLC Tugger site:

Non-Surgical Foreskin Restoration, a Canadian Web site with a great deal of information:

What about Religious Circumcision?
I am not Jewish (or Muslim), but I can assure you that many are rethinking circumcision. As a matter of fact, two of the most well-researched and eloquent books on the harmful nature of circumcision have been written by Jewish men. For more information, I urge you to read Circumcision: The Hidden Trauma by Ronald Goldman, Ph.D., (Vanguard, 1997), Circumcision: An American Health Fallacy by Edward Wallerstein (Springer Publishing, 1980) and watch CUT: Slicing Through the Myths of Circumcision. For additional information on the Jewish perspective, see these links. For the Christian perspective, see these links. For circumcision within Islam visit and


I hope this has been an eye-opening article. I realize that circumcision may not have been the topic uppermost on your mind before you opened your issue [of Men's Health] this month, but it's my mission to bring you timely, life-enhancing information. My hope is that you'll weigh it and then make the wisest choice for yourself and your family.

For more on how male circumcision impacts women's sexual health, see the articles on this page.

For additional information on the prepuce, intact care, and circumcision see, Are You Fully Informed?

FGM / MGM: A Visual Comparison

By Joseph Lewis
Read more from Lewis at Joseph4GI

I've taken the pictures from the recent NY news report, and the blog commentary on the Turkish Circumcision Palace, to create a second visual comparison.

Now, what kind of ignorance, denial and double-think does it take to insist that the following pictures are NOT the same thing?

Just what is it that makes them "different?"

Indeed, the sexes of these individuals may be "different."

But isn't the principle of taking a helpless individual and forcefully cutting his/her genitals the EXACT SAME PRINCIPLE?

And, do the ages of the individuals really matter?

Is the equality situation immediately self-evident?

Or do people continue to delude themselves with double-think?

Question circumcision.

The principle of forcefully cutting up a person's genitals is the same, no matter what age, no matter what sex.

For more information on the prepuce organ ('foreskin' or 'hood') and circumcision, see scholarly resources (books, sites, articles) at Are You Fully Informed?

International AIDS Conference: Circumcision Does Not Protect Against HIV Infection

Presentation at the 16th International AIDS Conference in Toronto
By Danny Kucharsky

HIV prevalence is not lower in populations that have higher male circumcision rates, according to findings from a study of African countries presented in Toronto at the 16th International AIDS Conference (AIDS 2006).

The study, which examined the association between male circumcision and HIV infection in 8 Sub-Saharan African countries, contradicts the findings of previous research and the opinion of several prominent personalities active in the fight against AIDS, such as former US President Bill Clinton and Bill Gates (founder and CEO of Microsoft).

While three studies have suggested male circumcision has a protective effect against sexually transmitted infections (STI), including HIV infection, the evidence is inconclusive, said investigator Vinod Mishra, MD, director of research, ORC Macro, Calverton, Maryland. "We're just questioning that push," he said of the optimism displayed by Clinton and others.

The study used demographic findings from recent demographic and health surveys in Burkina Faso, Cameroon, Ghana, Kenya, Lesotho, and Malawi, and AIDS indicator surveys from Tanzania and Uganda. The surveys were conducted from 2003 to 2005 and sample sizes ranged from 3,300 men in Lesotho to 10,000 men in Uganda.

In survey fieldwork in each country, men aged 15 to 59 gave blood for anonymous HIV testing. Information on circumcision status and on STI/STI symptoms was based on men's responses to questions in survey interviews.

Prevalence of male circumcision ranged from a high of 96% in Ghana to a low of 21% in Malawi. Among the other countries, circumcision rates were 84% in Kenya, 89% in Burkina Faso, and 25% in Uganda.

HIV prevalence was lower among circumcised than intact men only in Kenya (11.5% among intact men vs 3.1% among circumcised men). A small, statistically insignificant difference was also seen in Burkina Faso (2.9% vs 1.7%, respectively) and Uganda (5.5% vs 3.7%).

In each of the other countries, there was either no difference in HIV rates between circumcised and intact men, or circumcised men were more likely to be HIV-positive than intact men. For example, in Lesotho, HIV was seen in 23.4% of circumcised men compared with just 15.4% of intact men.

"If anything, the correlation [between circumcision and HIV infection] goes the other way," in most of the countries studied, Dr. Mishra said during his presentation on August 15th.

When adjusted for sociodemographic and behavioral factors, the difference in HIV infection was not statistically significant in any country, Dr. Mishra said.

In Kenya, and to a lesser extent, in Ghana, Malawi, Tanzania, and Uganda, circumcised men were less likely than intact men to report having had an STI, or STI symptoms, in the 12-month period prior to the survey (2.1% vs 5.4%, respectively). The relationship was reversed in Cameroon (8.0% vs 2.5%) and Lesotho (12.1% vs 7.5%).

With other factors controlled, the theorized "protective" effect of male circumcision was statistically significant only in Tanzania.

In addition, "circumcised men tend to have more lifetime sex partners, so there's some [high-risk] behaviors that go with circumcision status," he said.

A study limitation is that it was based on self-reported information on circumcision status and STI/STI symptoms. It also lacks data on age at circumcision and degree of circumcision, which might influence susceptibility to HIV infection.

However, Dr. Mishra said the study is consistent with other research that has failed to find a protective effect of male circumcision on HIV and STIs (sexually transmitted infections).

[Presentation title: Is Male Circumcision Protective of HIV Infection? Abstract TUPE0401]

Related resources on HIV and circumcision:

Dr. Dean Edell and others discuss HIV and circumcision (the U.S. has the highest numbers of HIV positive persons of any developed nation, and the U.S. also has the highest numbers of sexually active adult circumcised men). Circumcision does not prevent HIV.

For additional information on circumcision, the prepuce organ ('foreskin') and intact care see: Are You Fully Informed?

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