Sexual satisfaction of women partners of circumcised men in a randomized trial of male circumcision

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Sexual satisfaction of women partners of
circumcised men in a randomized trial of male
circumcision in Rakai, Uganda.

• G Kigozi, I Lukabwe, J Kagaayi, M J. Wawer, B
  Nantume, G Kigozi Nalwoga, F Nalugoda, N
  Kiwanuka, F Wabwire-Mangen, D Serwadda, R Ridzon,
  D Buwembo, D Nabukenya, S Watya, T Lutalo, J
  Nkale, R H. Gray

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• BACKGROUND
• 3 RCTs have shown gt50 reduction in risk of HIV
  acquisition among circumcised HIV-ve men
• Little info on sexual satisfaction among females
  following partners MC
• OBJECTIVE
• To investigate the effect of adult medical male
  circumcision on female sexual satisfaction.
• SUBJECTS AND METHODS
• Enrolled 455 women partners of men circumcised in
  the Rakai RCT of male circumcision, aged 1549
  yrs
• Collected info about their sexual satisfaction
  before and after the partners were circumcised.
• Analyzed female self-reported changes in sexual
  satisfaction using chi square
• Study reviewed and approved by 2 IRBS

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Self-reported sexual satisfaction among women who
had sexual intercourse before and after their
partners circumcision
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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 after their partners circumcision.
• There were no statistically significant
  differences in sexual satisfaction before and
  after partners circumcision by age, religion and
  education status.

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CONCLUSION

• 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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ACKNOWLEDGEMENTS

• Fogarty international
• NIAID
• Gates Foundation
• Rakai Health Sciences Program staff
• Study Participants