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Sexual satisfaction of women partners of circumcised men in a randomized trial of male circumcision in Rakai, Uganda
Presented by Godfrey Kigozi (Uganda).
G. Kigozi1, I. Lukabwe1, M. Wawer2, D. Serwadda3, F. Nalugoda1, J. Kagayi1, N. Kiwanuka3, F. Mangen Wabwire4, T. Lutalo5, D. Nabukenya1, G. Kigozi Nalwoga1, R. Gray6
1Rakai Health Sciences Program, Kalisizo, Uganda, 2John Hopkins Bloomberg School of Public Health, Baltimore, United States, 3Makerere University School of Public Health, Kampala, Uganda, 4Makerere University School of Medicine, Kampala, Uganda, 5Uganda Virus Research Institute, Entebbe, Uganda, 6Johns Hopkins Bloomberg School of Public Health, Baltimore, Uganda
Background: Some activists have objected to male circumcision because of the lack of data on female sexual satisfactions and sociologists have urged that circumcision roll out programs consider social factors that may affect women, including female sexual satisfaction. There has also been speculation that removal of the foreskin reduces female sexual satisfaction because the gliding action of the foreskin is thought to facilitate vaginal penetration. We assessed the effect of adult medical male circumcision on postoperative female sexual satisfaction.
Methods: We investigated self-reported sexual satisfaction among 455 women partners of men circumcised in a randomized trial of male circumcision for HIV prevention in Rakai, Uganda. Women aged 15-49 were interviewed about their sexual satisfaction before and after their partners were circumcised. We analyzed female reported changes in sexual satisfaction using Chi-square or Fisher's exact tests.
Results: Only 2.9% (13/455) of women reported less sexual satisfaction after their partners were circumcised. 57.3% (255/455) reported no change in sexual satisfaction and 39.8% (177/455) reported an improvement in sexual satisfaction following their partners' circumcision. There was no statistically significant difference in reported change in sexual satisfaction before and after partner's circumcision by age, religion and education status.
Conclusions: The overwhelming majority of women (97.1%) report either no change or improved sexual satisfaction after their male partner was circumcised. These findings suggest that male circumcision has no deleterious effect on female sexual satisfaction.
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