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Expectant and Postpartum Moms
Reply to "Why do you care what I decide to do to my son's penis when he is born?"
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[quote=Anonymous]Penile cancer is 1 of the rarest forms of cancer in the Western world (?1 case in 100 000 men per year), almost always occurring at a later age. When diagnosed early, the disease generally has a good survival rate. According to the AAP report,2 between 909 and 322 000 circumcisions are needed to prevent 1 case of penile cancer. Penile cancer is linked to infection with human papillomaviruses,5 which can be prevented without tissue loss through condom use and prophylactic vaccination. [b]It is remarkable that incidence rates of penile cancer in the United States, where ?75% of the non-Jewish, non-Muslim male population is circumcised,1 are similar to rates in northern Europe, where #10% of the male population is circumcised[/b].6 As a preventive measure for penile cancer, circumcision also fails to meet the criteria for preventive medicine: the evidence is not strong; the disease is rare and has a good survival rate; there are less intrusive ways of preventing the disease; and there is no compelling reason to deny boys their legitimate right to make their own informed decision when they are old enough to do so. TRADITIONAL STDs According to the AAP report,2 there is evidence that circumcision provides protection against 2 common viral STDs: genital herpes and genital warts. However, the evidence in favor of this claim is [b]based primarily on findings in RCTs conducted among adult men in sub-Saharan Africa. For other STDs, such as syphilis, gonorrhea, and chlamydia, circumcision offers no convincing protection. [/b]The authors of the AAP report forget to stress that [b]responsible use of condoms, regardless of circumcision status, will provide close to 100% reduction in risk for any STD. [/b]In addition, STDs occur only after sexual debut, which implies that the decision of whether to circumcise can be postponed to an age when boys [i]are old enough to decide for themselves.[/i][/quote]
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