As the influential leader of Zambia's Kaonde people, Chief Jonathan Eshiloni Mumena's decision to undergo male circumcision was nothing short of a public health practitioner's dream. Since undergoing the procedure two years ago at the age of 47 and breaking with tribal custom, Chief Mumena not only kicked off a vibrant discussion about circumcision's role in HIV prevention, but he got men - by the ...
From a USAID report:
"There appears no clear pattern of association between male circumcision
and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is
lower among circumcised men, while in the remaining 10 countries it is
higher."
http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf
It seems highly unrealistic to expect that there will be no risk
compensation. The South African National Communication Survey on HIV/AIDS,
2009 found that 15% of adults across age groups "believe that circumcised
men do not need to use condoms".
http://www.info.gov.za/issues/hiv/survey_2009.htm
It is unclear if circumcised men are more likely to infect women. The only
ever randomized controlled trial into male-to-female transmission showed a
54% higher rate in the group where the men had been circumcised:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/a
bstract
ABC (Abstinence, Being faithful, and especially Condoms) is the way
forward. Promoting genital surgery seems likely to cost African lives
rather than save them.
A man with foreskin shared his experience on the sensations of orgasm.
“When pressed for details, my [circumcised] friends described ejaculation
as something that felt good for the penis, and pleasure that lasted for
about 5 seconds after a while masturbating with lotion.
For me, this experience was (and still is) vastly different. My friends
described the sensations of orgasm as something limited to the penis. For
me, orgasm was something that not only felt good for my penis, but also
felt good for my entire body. Orgasm for me is not some sudden surprise
coming, either, but rather something I can feel coming on from the very
moment I begin making love. And even when the moment comes, orgasm for me
is peak to a gradual and fulfilling crescendo of sexual pleasure, where it
reaches an apex after I ride waves of pleasure up and down, and slowly wind
down enjoy the aftermath of that feeling.
It is like all of the pleasure that comes from my penis when I ejaculate
being multiplied by a factor of 5, and having this intense pleasure
everywhere in my entire body at once for about a whole minute, leaving me
writhing, and convulsing in ecstasy as I climax. It feels like my entire
body is tingling—from my toes, up and down my spine, all over my back,
chest, abs, and groin, and all the way to the top of my scalp, leaving my
body gently convulsing (sometimes shaking) in pulsing ecstasy. (During this
time, I also happen to ejaculate.) And afterward, when my penis begins to
become flaccid, even the slightest touch on my penis feels really good, and
takes my breath away in a really good way.
This was vastly different from what my friends described, which to me
sounded like about 10 minutes of work for 5 seconds of sudden pleasure,
followed by boredly staring down at the penis, quickly taking the hands
away, and waiting for it to go down (because touching the glans right
afterward hurts them for some reason).”
Zambia: Catching up with Male Circumcision Advocate Chief Mumena
allAfrica.com, 24 July 2013
As the influential leader of Zambia's Kaonde people, Chief Jonathan Eshiloni Mumena's decision to undergo male circumcision was nothing short of a public health practitioner's dream. Since undergoing the procedure two years ago at the age of 47 and breaking with tribal custom, Chief Mumena not only kicked off a vibrant discussion about circumcision's role in HIV prevention, but he got men - by the ...
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From a USAID report: "There appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher." http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf
It seems highly unrealistic to expect that there will be no risk compensation. The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups "believe that circumcised men do not need to use condoms". http://www.info.gov.za/issues/hiv/survey_2009.htm
It is unclear if circumcised men are more likely to infect women. The only ever randomized controlled trial into male-to-female transmission showed a 54% higher rate in the group where the men had been circumcised: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/a bstract ABC (Abstinence, Being faithful, and especially Condoms) is the way forward. Promoting genital surgery seems likely to cost African lives rather than save them.
A man with foreskin shared his experience on the sensations of orgasm.
“When pressed for details, my [circumcised] friends described ejaculation as something that felt good for the penis, and pleasure that lasted for about 5 seconds after a while masturbating with lotion.
For me, this experience was (and still is) vastly different. My friends described the sensations of orgasm as something limited to the penis. For me, orgasm was something that not only felt good for my penis, but also felt good for my entire body. Orgasm for me is not some sudden surprise coming, either, but rather something I can feel coming on from the very moment I begin making love. And even when the moment comes, orgasm for me is peak to a gradual and fulfilling crescendo of sexual pleasure, where it reaches an apex after I ride waves of pleasure up and down, and slowly wind down enjoy the aftermath of that feeling.
It is like all of the pleasure that comes from my penis when I ejaculate being multiplied by a factor of 5, and having this intense pleasure everywhere in my entire body at once for about a whole minute, leaving me writhing, and convulsing in ecstasy as I climax. It feels like my entire body is tingling—from my toes, up and down my spine, all over my back, chest, abs, and groin, and all the way to the top of my scalp, leaving my body gently convulsing (sometimes shaking) in pulsing ecstasy. (During this time, I also happen to ejaculate.) And afterward, when my penis begins to become flaccid, even the slightest touch on my penis feels really good, and takes my breath away in a really good way.
This was vastly different from what my friends described, which to me sounded like about 10 minutes of work for 5 seconds of sudden pleasure, followed by boredly staring down at the penis, quickly taking the hands away, and waiting for it to go down (because touching the glans right afterward hurts them for some reason).”