title: Sexual satisfaction of women partners of circumcised men in a randomized trial of male circumcision in Rakai, Uganda.
abstract: 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.
authors.affiliation: Rakai Health Sciences Program, Entebbe, Uganda. gkigozi@rhsp.org
authors.forename: Godfrey
authors.initials: G
authors.lastname: Kigozi
authors.forename: Ivan
authors.initials: I
authors.lastname: Lukabwe
authors.forename: Joseph
authors.initials: J
authors.lastname: Kagaayi
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Wawer
authors.forename: Betty
authors.initials: B
authors.lastname: Nantume
authors.forename: Grace
authors.initials: G
authors.lastname: Kigozi
authors.forename: Fred
authors.initials: F
authors.lastname: Nalugoda
authors.forename: Noah
authors.initials: N
authors.lastname: Kiwanuka
authors.forename: Fred
authors.initials: F
authors.lastname: Wabwire-Mangen
authors.forename: David
authors.initials: D
authors.lastname: Serwadda
authors.forename: Renee
authors.initials: R
authors.lastname: Ridzon
authors.forename: Dennis
authors.initials: D
authors.lastname: Buwembo
authors.forename: Dorothy
authors.initials: D
authors.lastname: Nabukenya
authors.forename: Stephen
authors.initials: S
authors.lastname: Watya
authors.forename: Tom
authors.initials: T
authors.lastname: Lutalo
authors.forename: James
authors.initials: J
authors.lastname: Nkale
authors.forename: Ronald H
authors.initials: RH
authors.lastname: Gray
mesh_terms: 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