Advances in Sexual Medicine, 2015, 5, 22-38
Published Online April 2015 in SciRes. http://www.scirp.org/journal/asm
http://dx.doi.org/10.4236/asm.2015.52004
How to cite this paper: Boyle, G.J. (2015) Circumcision of Infants and Children: Short-Term Trauma and Long-Term Psycho-
sexual Harm. Advances in Sexual Medicine, 5, 22-38. http://dx.doi.org/10.4236/asm.2015.52004
Circumcision of Infants and Children:
Short-Term Trauma and Long-Term
Psychosexual Harm
Gregory J. Boyle
Australian Institute of Psychology, Fortitude Valley, Queensland, Australia
Email: greg@aipc.net.au
Received 4 March 2015; accepted 12 April 2015; published 16 April 2015
Copyright © 2015 by author and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/
Abstract
Non-therapeutic infant male circumcision is a permanent surgical alteration to the penis that may
cause significant physical, sexual and psychological harm. Physical harms include unintended
adverse effects of the surgery itself (e.g., complications such as bleeding, infection, excessive re-
moval of foreskin leaving insufficient shaft skin to accommodate erections, etc.), as well as the
inherent loss of healthy, functional tissue. Sexual harms that necessarily follow from circumcision
include the loss of all sensation in the foreskin itself, and the loss of all sexual functions that
involve the physical manipulation of the foreskin. Additional sexual harms that may follow cir-
cumcision include reduced sexual sensation in the remaining penile structures, difficulty with
masturbation, increased chafing in both the circumcised man and his sexual partner, as well as
reduced overall psychosexual/psychological tension relief and subjective satisfaction. Psycho-
logical harms include short-term trauma as well as the potential for long-term emotional distur-
bances, including sadness, frustration, distress, and anger—akin to post-traumatic stress disorder
(PTSD). In this paper, the extent and severity of these various harms are considered and it is
argued that they are more serious and more widespread than is commonly believed.
Keywords
Circumcision, Sexual Reduction Surgery, Circumcision-Related Deaths, Male Genital Mutilation
1. Introduction
Non-therapeutic infant male circumcision is “the most commonly performed surgery in the United States” [1]. It
is most often performed for cultural or religious reasons, although it is also frequently performed in hospital set-
tings as a routine procedure, at least in the United States (in contrast to other developed nations) [2], where it