The Circumcision Discussion - page 56

I know this can be a HUGE debate, and I'm not looking to start any arguments. I was just wondering as you are OB nurses. I'm expecting a boy in July and not sure if we should circ. or not. My... Read More

  1. by   Spidey's mom
    Quote from Arwen_U
    I think it is Jane's daughter who's married to an American; in this case, I can see where the conflict lies. Where I work we have a fairly high # of Hispanic women - whose culture traditionally doesn't circ - married with American men, who want their sons circed. There tends to be quite an animated discussion among these couples, and it pains me to say it, but they usually decide for circ. And most of the moms aren't happy about it but feel they have no choice.
    The same animated discussion happened in my house - and my older boys' dad is NOT Hispanic. It also went on for 3 days after our first son was born . .. the pediatrician kept coming by and asking if we'd come to a decision . .... I ended up signing papers, all the while crying. My ex thought I was being very silly.

    steph
  2. by   crissrn27
    I cried when I signed the papers both times too, steph! No way I would do it now, but first hubby was so insistent, and the doc pushed for it too. Thought I was doing the right thing. But unlike your kids, my boys have asked how I could do that to them! Major guilts, but live and learn.
  3. by   ElvishDNP
    Quote from natania
    I'm not sure that is relevant. I believe the HIV rate in America is largely due to IV drug use, and not sexual intercourse. If the IV drug use is higher in the US, then it stands to reason that HIV rates would be higher, too.
    And have you seen the latest stats on STDs here in the US? They are through the roof, and not just HIV. I have a real problem when people use something like HIV to justify circumcision. There are lots of better ways to prevent it, especially in industrialized nations.
    http://www.ncbi.nlm.nih.gov/sites/en...t=AbstractPlus

    There is still more HIV spread by heterosexual sex here in the US than in other non-circing countries.

    Steph - I know what you're saying. Most Hispanics don't circ and it's really stressful for these moms who come from a non-circing culture to have daddy insist on it.
  4. by   Spidey's mom
    Quote from Arwen_U
    And have you seen the latest stats on STDs here in the US? They are through the roof, and not just HIV. I have a real problem when people use something like HIV to justify circumcision. There are lots of better ways to prevent it, especially in industrialized nations.
    http://www.ncbi.nlm.nih.gov/sites/en...t=AbstractPlus

    There is still more HIV spread by heterosexual sex here in the US than in other non-circing countries.

    Steph - I know what you're saying. Most Hispanics don't circ and it's really stressful for these moms who come from a non-circing culture to have daddy insist on it.

    There was an article this morning about the high rate of chlamydia in our young people.

    steph
  5. by   KYCNM
    Not only were there one million more cases of chlamydia last year than the previous year, gonorrhea and other sexually transmitted diseases are on the rise. And, all this in a country with the highest rate of circumcision in the world.
  6. by   Spidey's mom
    Quote from KYCNM
    Not only were there one million more cases of chlamydia last year than the previous year, gonorrhea and other sexually transmitted diseases are on the rise. And, all this in a country with the highest rate of circumcision in the world.
    The article I read said the rate was up due to more testing.

    But you do have a good point - we do have a large STD problem in the USA . . ..and we do have the highest rate of circumcision.

    steph
  7. by   KYCNM
    Actually, the article said the increase MIGHT be the result an increase in risky sexual behavior. "The number of newly diagnosed cases of the three most common sexually transmitted diseases rose for the second year in a row in the U.S., driven in part by an increase in risky sexual behavior, the Centers for Disease Control and Prevention reported Tuesday." The LA Times article went on to suggest that the rates had increased because of reduced public health funds, increased testing and a resurgance of risky sexual behavior in some groups.

    Read more at http://www.latimes.com/news/nationwo...adlines-nation

    I believe the tests we are using now (the DNA probe versus the culture) is much more accurate in diagnosing chlamydia and gonorrhea (the rate of which increased 5.5% last year). Now we have a "super" GC to deal with that is resistant to most antimicrobials.
  8. by   ElvishDNP
    Still think that's pretty significant. Circ ain't the answer.
  9. by   danissa
    This thread is so interesting to read. Arwen..as usual babe, you put your points across sooo well! Since we dont routinely circ in Scotland, I really have no experience of the procedure on a newborn. But, my hubs is circ'd (at aged 4, after the toilet seat fell on his wee man!!:imbar), and he (and I) are happy with that!!! My son is not, was never an option, and I dont know if I would have done it when he was an infant. My brother has just had the op, at aged 34, because he NEEDED it! So, it was his choice, as an adult.

    What i question, is the hygeine issue after circing a newborn. What happens when they pee and poop in the nappy.(diaper!, sorry, am scottish, and here its a nappy!!), but, surely with a fresh wound and all that poop stuff in the nappy, (ok...Diaper!!), theres a greater risk of infection, and of pain with each pee on a raw area????? Would it not be less painful and more hygenic to do the procedure, IF it were required, later on???:spin:
  10. by   ElvishDNP
    I find the post-circ hygiene issue to be a HUGE one. In most cases, the penis is covered with a vaseline gauze (Gomco circs, anyway) so the poop USUALLY doesn't come into direct contact with the would. However, there are numerous instances where the gauze wasn't wrapped so well to begin with and it falls off, or baby somehow wriggles out of it (they are little Houdinis!!), or um, they didn't have a lot to work with so there is not much to hold the gauze in place. And, we take it off after about 24hrs anyway.

    Then yes, the gauze is off and here it is sitting in the poo. While we're doing circ checks we check diapers too, and we caution parents to do the same. Whether they actually do that at home is another story. And yes, cleaning these babes' penises after a poopy diaper is not much fun. Their screams can be unbelievable, and it's different than an "I don't like you changing my diaper" scream. I cringe everytime I change a poopy post-circ diaper. I can't imagine having to pee over all that raw skin and don't understand why some parents think it's no big deal.

    Just anecdotally, danissa, does your son care that he's not circed and your husband is? Did he ever care or notice?

    ETA: Elvis wasn't circumcised! Just an interesting tidbit.
    Last edit by ElvishDNP on Nov 14, '07
  11. by   mvanz9999
    Quote from danissa
    Would it not be less painful and more hygenic to do the procedure, IF it were required, later on???:spin:
    Naturally, YES!!!!!!!!!!!!!!

    It also leaves the owner with some say in the matter!:spin:
  12. by   danissa
    Arwen no, my boy neither notices nor cares that hes different from his Father. then again, he's fifteen, so doesn't discuss his anatomy with me one bit at the moment!! When he was younger though, never bothered, and I'm sure it wont matter to him in the future, as long as his bits are healthy and happy! If, like my brother, he finds he needs it when hes older, then its his choice.

    the vaseline wrap thing babe, wow, thats a bit scary protection wise isnt it. From the point of covering raw skin...when the wee guys pee, surely it falls off! poor wee guys!
  13. by   vashtee
    Quote from KYCNM
    Not only were there one million more cases of chlamydia last year than the previous year, gonorrhea and other sexually transmitted diseases are on the rise. And, all this in a country with the highest rate of circumcision in the world.
    True, the rates of circumcision are amongst the highest in the world, but the rates of circumcision are falling in the US. Perhaps it is merely coincidence that the rise in STD rates coincide with the falling circumcision rates?

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