Argument: Circumcision increases sexual stamina and satisfaction
Edgar J. Schoen, MD. "Sexual Activity". Opposing Views - Clinical Professor of PediatricsIt has been claimed that the foreskin is important for normal, pleasurable sexual activity, and until recently this myth has not been tested. Since 2000 a number of studies from around the world have compared measurements of sexual pleasure before and after adult male circumcision. Published results have shown no significant differences whether or not the foreskin is present. Indeed, circumcised men have some advantages. Circumcised men have been found to engage in more varied sexual activity. Women, by a margin of about 3 to 1, prefer the circumcised penis, mainly because of cleanliness which is of particular importance in oral sex. There is a minimal difference in the sexual act itself – circumcised men take slightly longer to reach orgasm after vaginal insertion, an effect considered to be advantageous. Longer and cleaner sex is better sex.
Lerche Davis. "Adult Circumcision Affects Sexual Performance. Circumcised Men Take Longer to Reach Ejaculation, but That May Be OK". WebMD Health News. 2 Feb. 2004 -- Feb. 2, 2004 -- Adult circumcision affects a guy's sexual performance -- but not in a bad way, according to a new study.
Circumcised men take longer to reach ejaculation, which can be viewed as "an advantage, rather than a complication," writes lead researcher Temucin Senkul, a urologist with GATA Haydarpasa Training Hospital in Istanbul, Turkey. His paper appears in the current issue of the journal Adult Urology.
Circumcision -- the surgical removal of the foreskin of the penis -- typically occurs immediately after birth or during childhood, in the Muslim and Jewish tradition. In the U.S., 77% of boys are circumcised, according to the researchers.
But what about guys who don't get circumcised as babies, who decide on circumcision when they are adults? Can it give them sexual problems they didn't have before? That's what Sekul sought to determine.
Under the Knife
In this study, Senkul enrolled 42 men -- all about 22 years old -- who had not been circumcised. All but a few wanted circumcision for religious reasons. All were heterosexual and sexually active, and none was using a medication or device to promote erections.
Before the circumcision, doctors evaluated their sexual performance by asking about sex drive, erection, ejaculation, problems, and overall satisfaction.
The men were also asked to note how long they took to reach ejaculation -- during at least three sessions of sexual intercourse.
Twelve weeks after the surgery, the men again answered detailed questions about their sex lives. They reported on how long reaching ejaculation took.
The results: Everything was working smoothly -- except ejaculation, which took "significantly longer" after circumcision.
Temucin Senkul. "Circumcision in Adults: Effect on Sexual Function". Urology Journal. January 2004 - OBJECTIVES: To evaluate the effects of adult circumcision on sexual function in men circumcised only for religious or cosmetic reasons.
METHODS: The study group consisted of 42 male patients with a median age of 22.3 years (range 19 to 28) referred for circumcision from June 2002 to January 2003. Of the 42 men, 39 desired circumcision for religious reasons. Before circumcision, their sexual performance was evaluated using the Brief Male Sexual Function Inventory (BMSFI) and ejaculatory latency time. The BMSFI evaluation and ejaculatory latency time measurements were repeated after a postoperative interval of at least 12 weeks. The scores in the five main sections of the BMSFI and the ejaculatory latency times before and after circumcision were analyzed.
RESULTS: The differences in the mean BMSFI scores were not statistically significant in any of the five sections. However, the mean ejaculatory latency time was significantly longer after circumcision (P = 0.02).
CONCLUSIONS: Adult circumcision does not adversely affect sexual function. The increase in the ejaculatory latency time can be considered an advantage rather than a complication.
Brittany Risher. "Circumcision: Pros and Cons. The Sexual Effects of Circumcision". Men's Health. - If you're circumcised, Ian Kerner, Ph.D., a sex therapist and author of She Comes First, says you may need more friction to reach orgasm. He recommends trying different positions, such as doggy style or missionary, that allow you to maximize stimulation. Or ask your woman to do Kegel exercises and squeeze her pelvic floor muscles, which will put more friction on the head of your penis.
I. Solinis A. Yiannaki. "Does circumcision improve couple's sexual life?". MD Consult Preview. 2007 - Background: The aim of the study was to compare sexual life and enjoyment of men (and their partner) that were circumcised as adults before and after their circumcision.
Methods: The study included 123 sexually active men that were circumcised two years before or more. The mean age was 36 years (22–64). All the men filled a questionnaire about the quality of their sexual life and the sexual enjoyment before and after circumcision. Also, there were questions about partner's sexual life improvement. The results are presented below.
[...]65% reported that the ejaculation latency time increased significantly after circumcision".
"Wrapped In Controversy". 4 Men's Health - "Robert Van Howe of Michigan State University used a similar method to measure sensitivity at 19 points along the penises of 163 men, he found that the five most sensitive points were all in portions of the penis removed by circumcision, especially those in folds exposed as the penis becomes erect."
"Adult Circumcision Stories - Men Circumcised As Adults Tell It As It Is...". No more stench and girls like the look better for medical student in Germany. Circ Info. - "I have also noticed that I can control my ejaculations a lot better since I am circumcised.
During sexual intercourse the foreskin easily moves over the glans and therefore gives excessive stimulations that may lead to premature ejaculations. This is my explanation to Badger's findings on better sex with circumcised men. Yes, it's a shame: here in Germany the circumcision rate of neonates is below one per cent."
"Better sexual performance for another man in USA". Testimonial. Circ Info. - Better sexual performance for another man in USA
"My sexual performance improved after being circumcised because my self-image improved and my confidence was better " there was no loss of sensation, simply a different feeling ... which I happen to find far, far better and more satisfying to my eternal surprise and joy."
"Hygiene, appearance and sexual benefits says man from New Zealand". Testimonial. Circ Info. - Notably as orgasm approached and the glans swelled to its maximum, the foreskin would remain behind the glans and the overwhelming constant sensations on the now very sensitive glans would trigger a sudden rush to orgasm. Today, the control is greater as the glans is stimulated earlier in intercourse and I think the receptors "down-regulate" so that, great as it feels, there seems to be no sudden rush of sensation to unstoppable orgasm. I acknowledge that psychological factors play a part in this on a day to day basis, but overall the effect is a smoother escalation and control of sexual tension.
The wonderful sensations in the frenulum have remained the same. The glans is not as sensitive, as I can tolerate clothes rubbing it, which was absolutely intolerable before, but once the glans is moistened it feels exactly the same as the uncirc'd state. It has been over 8 years since the circ, it was done at age 42, and I have been dying to tell guys that the "cut" state is great and their partners really do benefit.
"Circumcision - Sensitivity, Sensation and Sexual Function". Circumcision - Sensitivity, Sensation and Sexual Function. Circinfo - The foreskin contains sensory nerve receptors as are prevalent over the rest of the penis. There is no scientific evidence that the extra complement of these in uncircumcised men leads to greater sexual pleasure. In fact, some uncircumcised men have been known to complain that their penis is too sensitive, leading to pain, and seek circumcision to relieve this. Diminishing sensitivity is in fact desired by many men and women in order to prolong the sex act by preventing premature ejaculation .
Orgasm, the culmination of the sex act, is not related to the foreskin, and involves activity of neurones in the hypothalamus of the brain.
It should also be added that anecdotes cannot be accepted, and any hypothesis they might suggest must be tested by scientific research before receiving serious consideration. Fanciful speculation by anti-circ proponents must be disregarded, as should dubious publications involving biased study groups . So let’s look at the scientific evidence.
Masters & Johnson undertook clinical and neurological testing of the ventral and dorsal surfaces, as well as the glans, and detected no difference in penile sensitivity between circumcised and uncircumcised men . Sexual pleasure also appears to be about the same.
Two US studies published in 2002 both found similar or greater sexual satisfaction in men after circumcision as adults [123, 182]. The mean age of the men in each study was 37 and 42, respectively. In the smaller survey  there was no difference in sexual drive, erection, ejaculation, problem assessment or satisfaction compared with what the men recalled sex being like prior to foreskin removal. Penile sensitivity was the same.
The Collins paper stated that their study was prompted by reports by proponents of "foreskin restoration", in particular the "disparity between the mythology and medical reality of circumcision regarding male sexuality" .
In the Fink study of 123 men , 62% said they were satisfied with having been circumcised (they liked their new look) and 50% reported benefits. There was no change in sexual activity. Penile sensitivity, although not tested directly, was thought by some of the men in this study to be slightly lower (but not statistically so), which may have contributed to their claims of better sex. Although there was no change in sexual activity, some of the men thought erectile function was slightly less (category scores: 12.3 vs 11.1, P = 0.05), which is the opposite of the very much larger National Health and Social Life Survey . Fink and co-workers point out that this would, however, have to be confirmed by duplex Doppler ultrasound before a definitive conclusion could be made. Furthermore, the outcome of this study could have been affected by the fact that 93% of the men had been circumcised for a medical problem. Both the men and their partners preferred the appearance of the penis after it had been circumcised. As in other studies  oral sex became more frequent, but there was no change in anal sex or masturbation . Their partners were also more likely to initiate sex with them.
A report in 2004 of men circumcised for non-medical reasons in Turkey showed an increase in ejaculatory latency time, which may or may not reflect decreased sensitivity, but this was considered by the men as an advantage in that they could prolong intercourse . Another study, discussed below, found ejaculatory latency time was significantly lower in Turkish men compared with men in the USA, UK and European countries .
"Adult Male Circumcision Not Linked To Sexual Dysfunction". Medical News Today. 19 Nov 2008 - The World Health Organization recommends male circumcision as an important element in HIV prevention programs, and the procedure is promoted in high-risk heterosexual populations. While the benefits of circumcision are well-documented (they also include reduced rates of urinary tract infection, penile cancer, and cervical cancer and chlamydia in female partners), there remains a concern that adult circumcision may impair sexual function.
A new study has found that adult circumcisions do not lead to sexual difficulties among men who were already sexually active. The study appears in the November 2008 issue of The Journal of Sexual Medicine the official journal of the International Society for Sexual Medicine.
The study group consisted of 2,684 men in Kisumu, Kenya between 2002 and 2005. Both groups underwent six detailed evaluations between one month and 24 months after circumcision. "More than 99 percent of the men studied reported that they were satisfied with their circumcision, and the majority of men reported both greater penile sensitivity, and easier use of condoms," said lead author John N. Krieger, M.D., of the University of Washington.
The results also showed no significant difference in the frequency of erectile dysfunction, inability to ejaculate, pain during intercourse or lack of pleasure during intercourse. Circumcised men also had progressively higher rates of sexual satisfaction over time.
"These findings are reassuring in view of current efforts to promote male circumcision to prevent HIV infections in some countries, particularly in eastern and southern Africa," say the authors. They also note that continued evaluation and counseling in HIV and sexually transmitted disease risk reduction remain critical.
"This topic has been highly controversial." says Irwin Goldstein, M.D., Editor-in-Chief of The Journal of Sexual Medicine. "I am pleased to be able to publish irrefutable evidence that circumcision does not have negative side effects regarding sexual health; rather it is quite the opposite."
Emily Bazelon. "Or Not To Snip?Slate's findings on circumcision and sex." Slate. Feb. 13, 2006 - Of the 79 men who'd experienced sex snipped and unsnipped, 43 said sex improved (55 percent) after their circumcisions, 23 said it went downhill (29 percent), and 13 said there was no change or a mix of pros and cons (16 percent). Click here to read women and gay men compare sex with snipped and unsnipped partners.
Daniel got snipped as a college sophomore to combat recurrent genital warts and premature ejaculation. "You can imagine my relief when I found that sex could last much longer."
Two were pleased with the results, and two were ambivalent. One of them, Eric, said that when he lost his inner foreskin, he lost some sensation. (According to the article in Urologia, "many studies have shown the presence of thousands of erogenous nerve endings on the inner layer of the foreskin.") The upside was that sex lasted longer. "Sex became less exciting but more satisfying," he wrote. Other men reported a similar trade-off. ("Is it better to have a glass of excellent wine, or a bottle of very good wine?" mused one.)
"Cutting the competition." Economist. 19 Jun 2008 - the lack of a foreskin could make insertion, ejaculation or both take longer. Perhaps long enough that an illicit quickie will not always reach fruition.