Age at first intercourse, partner number, perceived importance of a good sex life, and current sexual activity differed little between circumcised and uncircumcised men or between women with circumcised and uncircumcised spouses. However, circumcised men were more likely to report frequent orgasm difficulties (11% vs 4%, ORadj=3.26; 95%CI:1.42-7.47), and women reporting a circumcised spouse were more likely to report incomplete sexual needs fulfilment (38% vs 28%, ORadj=2.09;1.05-4.16) and frequent sexual function difficulties overall (31% vs 22%, ORadj=3.26; 1.15-9.27), notably orgasm difficulties (19% vs 14%, ORadj=2.66;1.07-6.66) and dyspareunia (12% vs 3%, ORadj=8.45; 3.01-23.74). Findings were stable in several robustness analyses, including one restricted to non-Jews and non-Moslems.
Circumcision was associated with frequent orgasm difficulties in Danish men and with frequent sexual difficulties in their spouses, notably orgasm difficulties, dyspareunia, and a sense of incomplete sexual needs fulfilment. Thorough examination of these matters in areas where male circumcision is more common is warranted. (Int. J. Epidemiol. (2011) 40 (5): 1367-1381. First published online: June 14, 2011)
