Last week, Intact America launched a petition to the American Academy of Pediatrics (AAP). The petition demands that the AAP follow the recommendations from its own research about infant pain, and tell its doctors to END THE PAIN and stop circumcising baby boys. Our goal is 29,000 signatures by February 29. We need your help! Please sign this petition, and share it with your friends. Ask them to sign and share it, too!
Intact America insists that the American Academy of Pediatrics issue a new circumcision policy—one that honors and protects baby boys from harm.
The American Academy of Pediatrics (AAP) recently said that babies shouldn’t be subjected to unnecessary pain. But the AAP continues to promote “routine” infant circumcision, a painful, medically unnecessary surgery that removes a normal part of a baby’s penis.
Last month, the AAP published research showing that common medical procedures carried out on newborn babies are very painful, and that the effects of the pain can last many years. The procedures mentioned included heel sticks, insertion of IV needles, and circumcision. The AAP report also found that commonly used pain relievers are neither effective nor safe.
Infant circumcision differs from the other procedures discussed in the report in that it is an invasive surgery that neither tests for nor treats any illness, and permanently removes a natural and valuable part of a boy’s sexual anatomy – the foreskin. The pain from circumcision is intense and continues for days or weeks after the surgery.
Circumcision, originally promoted in the 19th century as a way to prevent masturbation, has become part of American medical culture. Every year, a million baby boys in the United States are subjected to this surgery, although no medical association in the world recommends it.
Some of the falsehoods currently used to support circumcision include hygiene, disease prevention, and aesthetics.
The truth is:
- The intact penis is easily cleaned throughout a boy’s and man’s lifetime.
- Circumcision does NOT prevent sexually transmitted diseases, including HIV. European countries where fewer than ten percent of all men are circumcised have about the same STD rates as the United States, where circumcision is common.
- Any preference expressed by men or women for the circumcised penis is a result of cultural conditioning. Besides, as the U.S. circumcision rate declines, and the number of intact boys and men grow, the intact penis will no longer seem strange or unattractive.
Many Americans also believe that circumcision is “just a snip” – a minor, brief, and painless procedure that babies will not remember. This is FALSE, and the new AAP article on pain proves it.
Because circumcision is NOT medically necessary, and because the pain it causes is unmanageable and harmful over the long term, Intact America demands that the American Academy of Pediatrics tell its doctors to end the pain and stop circumcising baby boys.
Help us reach 29,000 signatures by February 29, 2016.
Please sign our petition TODAY.
The media overlooked an important story late last month that should dramatically change how doctors and hospitals treat newborn babies. On January 25, the American Academy of Pediatrics (AAP) announced a study updating its recommendations on avoiding, minimizing, or treating pain in infants. The AAP statement cites research showing that many “routine” interventions are extremely painful and that there are both short- and long-term consequences of babies’ exposure to painful stimuli.
Now that the AAP is asking health facilities to implement “a pain-prevention program … minimizing the number of painful procedures performed” on newborns, we need to ask again why doctors continue to circumcise nearly a million baby boys a year in the United States. Unlike other painful stimuli the AAP cites, including heel punctures or IV insertion, circumcision is a protracted surgery that does not diagnose or treat any illness, but rather subjects tiny boys to extreme pain for a medically unnecessary procedure.
Until recently, circumcisions have been carried out with no pain relief at all. Instead, practitioners used only physical restraints. Even today, it’s estimated that as many as half of circumcising doctors do not employ analgesia, and that the methods used the rest of the time are only partially effective, if not outright dangerous. (“EMLA,” a topical anesthetic cream widely used in U.S. hospitals, is specifically contraindicated for use “on the genitals of children” in the United Kingdom.
Unfortunately, as the AAP statement acknowledges, it’s nearly impossible to manage pain in infants, given their small size and vulnerability to chemical interventions – even the questionably effective and widely used sugar pacifiers. Implicit throughout the AAP statement is the fact that the safer the analgesic, the less effective it is in eliminating pain.
The next step
Now that the AAP has gone on record to affirm that babies feel and suffer the consequences of pain, and should not be subjected to painful procedures if they can be avoided, the logical next step is for the AAP to call unequivocally for doctors to stop circumcising babies. In its 86-year history, the AAP has never recommended circumcision and has always held that it’s not medically necessary. But, recently, as more and more parents opt out of the procedure for their boys, the trade association’s enthusiasm for circumcision has only increased. In 2012, while admitting that the complications and risks of infant circumcision have never been studied systematically, the AAP took the regrettable position that the operation’s benefits outweigh the risks.
Medical experts from around the world disagree. In response to the AAP’s 2012 statement, a large group of European physicians and ethicists wrote, “Cultural bias reflecting the normality of nontherapeutic male circumcision in the United States seems obvious, and the report’s conclusions are different from those reached by physicians in other parts of the Western world… [Their claims of] health benefits… are questionable, weak, and likely to have little public health relevance in a Western context.”
Notably, far fewer than 10% of adult men in Europe are circumcised, compared to 75% of the adult male population in the United States.
Now we have a systematic study about the short- and long-term risks of pain inflicted upon infants. This is all we need to know in order for the AAP to stand up and say to its members: “Removing a boy’s foreskin is not medically necessary, it is painful, and the pain may compromise his neurological development for years hence. The AAP recommends that the circumcision of male infants cease.”
In my experience, the more you know about circumcision, the more you oppose it. One important fact is that the foreskin is not “extra skin,” but a natural, necessary part of the male anatomy that protects the head of the penis, provides natural lubrication, and enhances sexual pleasure for men and their partners. In 2011, a study published in the International Journal of Men’s Health found that circumcised men have a 4.5 times greater chance of suffering from erectile dysfunction than intact men.
As an activist, bioethicist, attorney and, most importantly, a mother, I feel a glimmer of hope when I read the AAP’s new policy statement. I see a medical organization increasingly boxed into a corner as it tries to escape the inevitable: infant circumcision is not medically necessary, it is unethical, and it has no place in legitimate medical practice. The organization, which pledges its commitment to “the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults,” thus has no legitimate path other than to tell its physician members to stop circumcising baby boys.
February 13, 2016
DECEMBER 2014: December’s Intactivist of the Month, Ernesto Echeverria, is a little different from our other honorees. Other than sporting a “10 Out of 10 Babies Say NO” bumper sticker on his minivan, he really isn’t on the frontline. Rather, he came to the issue—let’s say—naturally, and in doing so, helped to inspire the creation of Intact America. You see, Ernesto, who makes his living as a glassblower in Corning, New York, is the son of Georganne Chapin, Intact America’s founding executive director.
“When Ernesto was born in 1980, his father and I would no more have agreed to having him circumcised than we would have agreed to having one of his eyes removed,” says Georganne. “I thought about two things – one was the pain and brutality of the surgery, and the second was how utterly senseless it seemed to remove a body part that nature had given to every single child. And that was that, or so I believed.”
Eighteen years went by. Then, one day during a family road trip, Ernesto brought up the subject.
Georganne recollects: “I remember him saying, ‘Mom, I never thanked you and Dad for not having me circumcised. I just want to thank you so much.’”
It wasn’t until that moment, Georganne says, that she realized the lifelong magnitude of the circumcision decision. “I had thought only about the pain and trauma to the baby. Until my son spoke to me as a young man, I truly had not thought about what circumcision – or, conversely, being intact – meant for the man that baby would become. And not one day goes by since that revelation 16 years ago that I don’t revisit with fervent thanks my decision to let my son keep all of his body parts.”
“As I was growing up,” Ernesto recounts, “I noticed something different about myself compared to most of my friends. What was different was that they had been circumcised and, like my father, I was intact. It took a while for me to understand how relevant this would be to my identity, my sex life, and me being a man. I never thought, though, that this issue would become a movement with legal, ethical and moral implications. I am happy that Intact America is doing this work, so that more boys and men can be proud about their natural bodies and have the awareness of what nature intended for them.”
I can’t count the times I’ve heard people say that female genital mutilation (FGM) is “much worse” than routine infant male circumcision. And frankly, I’m tired of it. Cutting the genitals of children – female or male – is a gross violation of their basic human rights. Period.
Which is why a recent New York Times article, “Genital Cutting Found in Decline in Many Nations,” really galled me. While it’s indeed encouraging that the incidence of FGM is declining in some African countries, the article failed to note that in the United States, more than a million newborn boys are subjected to circumcision each year.
As Americans self-righteously decry FGM, the American government and funders such as the Gates and Clinton foundations are pushing male circumcision on misinformed and disadvantaged adult men and, increasingly, on male infants who cannot consent. Removing normal genitalia is not a legitimate public health intervention, yet they continue to relentlessly promote it. Whole ranks of international health specialists are building their academic and foundation careers on this worthless, unethical surgery carried out on third-world men, and American doctors continue to rake in the cash for inflicting it on American baby boys. And all of them are willfully, conveniently ignoring any discussion of the ethical disconnects and cultural biases that prevent honest comparison of FGM and MGM.
Complete excision of penile skin as a complication to newborn male circumcision. (DMJ)
A recent study published in the Danish Medical Journal documents significant complications from circumcision in more than 5% of boys. The photo at right – which accompanies the report – generated disgust even among intactivists when we posted it on our Facebook page. Many asked us to remove it. We didn’t, because this photo of an infant’s mutilated, forcibly stimulated penis speaks volumes about our culture’s refusal to see circumcision for what it is: the unnecessary and unethical damaging of a perfectly healthy part of the body resulting in a spectrum of outcomes that no one has the right to dismiss. Why can’t we call that male genital mutilation? Will the DMJ report be picked up by American mainstream media? Of course not.
The hypocrisy and cultural blindness are mind-boggling.