Sexual satisfaction of women partners of circumcised men in a randomized trial of male circumcision in Rakai, Uganda.
OBJECTIVE
To investigate the effect of adult medical male circumcision on female sexual satisfaction.


METHODS
We investigated self-reported sexual satisfaction among 455 women partners of men circumcised in a randomized trial of male circumcision for the prevention of human immunodeficiency virus in Rakai, Uganda. Women aged 15-49 years were interviewed about their sexual satisfaction before and after their partners were circumcised. We analysed female-reported changes in sexual satisfaction using chi-square or Fisher's exact tests.


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 partner's circumcision. There were no statistically significant differences in sexual satisfaction before and after partner's circumcision by age, religion and education status.


CONCLUSIONS
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.
Kigozi
Godfrey
G
Rakai Health Sciences Program, Entebbe, Uganda. gkigozi@rhsp.org
Lukabwe
Ivan
I
Kagaayi
Joseph
J
Wawer
Maria J
MJ
Nantume
Betty
B
Kigozi
Grace
G
Nalugoda
Fred
F
Kiwanuka
Noah
N
Wabwire-Mangen
Fred
F
Serwadda
David
D
Ridzon
Renee
R
Buwembo
Dennis
D
Nabukenya
Dorothy
D
Watya
Stephen
S
Lutalo
Tom
T
Nkale
James
J
Gray
Ronald H
RH
D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D007989:Libido; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D011795:Surveys and Questionnaires; D014454:Uganda; D055815:Young Adult