When my older son was born 11 years ago I sort of took it for granted that he'd be circumcised. After all, I had never until then met a penis that wasn't. But his father had a different idea, basically presenting the question: why?
To that I had no answer. And apparently I am not alone: the U.S. circumcision rate has been dropping steadily since reaching a peak at nearly 90 percent in the early
1960s, and by 2004, the most recent year for
which government figures are available, about 57 percent of all male
newborns delivered in hospitals were circumcised. In some states, the
rate is well below 50 percent. Worldwide, about one in three males are circumcised.
Part of this change has been attributed to an influx of immigrants from cultures where circumcision is the exception rather than the norm, affecting circ rates mostly in western states with big populations from Asian and Latin American countries. The decline is also associated with a shift in perception regarding medicine and bodies, and may be connected to an increase beginning in the 1980's in drug-free births and breastfeeding rates as well.
Of course, circumcision, still the number-one surgery performed in the U.S., is still performed routinely in many areas of the country, with the upper Midwest being a prime area for the snippage. Many doctors still recommend circumcision, stating that it may reduce the risk of penile cancer, urinary tract infections,
HIV and perhaps other sexual transmitted diseases. But opponents say the medical benefits are dubious: penile
cancer is pretty rare, for instance, and since 1999, the American
Academy of Pediatrics has not endorsed routine circumcision.
The religious aspect of circumcision can't be ignored, however, and it's still quite common among Jewish and Muslim communities for that reason.
More than almost anything other than breastfeeding, though, circumcision remains an emotional and polarizing topic among parents, eliciting strong feelings on both sides. Where do you weigh in? What decision did you make regarding your sons or sons-to-be, and why?