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Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Friday, June 18, 2010

Circumcision: Yea or Nay?

Snapdragon is a girl, so we will not have to make a decision re: circumcision this time around. Still, the topic comes up from time to time on forums and parenting sites, so I've thought a bit about my position.

In general, I think that questions of body modification should be left to the person inhabiting the body. Body modification runs a broad spectrum — from hair cuts/coloring to ear piercing to tattoos to sex reassignment surgery — and I think that it is difficult to decide what choices should be in the hands of the parents and which in the hands of the child before age 18. My general rule hinges on reversibility. A hair cut is reversible, so a parent can cut a 2-year-old's hair without doing irreparable harm. Ear piercings can close, but leave minor scars, so it should be the child's choice, but I would probably entrust that decision to a 6-yr-old. Body modifications that involve a higher risk of serious infection or are harder to reverse should probably wait until the child is a teen and can offer informed consent.

Since I believe in the importance of bodily autonomy, I would not circumcise an infant.

Here are some of the pro-circumcision arguments I have encountered:

A circumcised penis is easier to clean. Just teach your son to retract his foreskin and wash thoroughly. You'll have to help him out when he's an infant, but this seems a minor concern to me. I wouldn't cut off an ear because it is hard to clean.


He should look like his dad. I wonder how often fathers and sons engage in penis-comparing sessions. Maybe when dad shows junior how to use a urinal? Surely, a young child would notice other differences (size, hairiness) before commenting on the status of their foreskins. Is this really a major concern for people?

He'll be teased in the locker room. Maybe this was true once, but not anymore. About 50% of American boys are circumcised and about 50% are not. It hardly seems likely that not being circumcised will be a tease-worthy offense in the locker rooms of 2025.

It looks better/Girls prefer cut to uncut. I think that cosmetic concerns of this variety should be left up to the person whose junk is being chopped. Just because mommy and daddy think it looks better doesn't mean junior will. If he wants to get snipped when he turns 18, I would not object at all.

Circumcision protects against STDs. Recent studies of HIV transmission in Africa indicate that circumcised men are less likely to contract HIV after having sex with an infected partner than uncircumcised men. Yet, the protection is nowhere near as complete as using a condom. Teach your son to use a condom. It protects against STDs and pregnancy!


Circumcision is a religious/cultural tradition in our family. Well, there's really no arguing with that. Religious rituals are inherently impervious to rational scrutiny, so there's no use in debating them. Needless to say, as an atheist, I have no reason to circumcise my son for religious reasons.

I just haven't heard any arguments that I find compelling enough to make me consider lopping off a piece of my baby's body. Can anyone present me with a more convincing pro-circumcision argument?

Sunday, April 4, 2010

Medical Stuff Update

On Thursday, we met with the midwife for Snapdragon's 15-week checkup. Everything looked fine. Snapdragon's heartrate was a strong 160 and my uterus measured at a perfectly average 16 centimeters. All of the pregnancy books say that my uterus should be 2 or 3 inches below my belly button at this point, but I am short, so it's actually less than an inch away.

On Friday, we went to the big hospital for an ultrasound with the perinatologist so she could check on my ovarian cyst. The good news: Snapdragon looks perfectly healthy. The bad news: my cyst has gotten slightly bigger. It's about the size of a baseball, which isn't such a huge problem at the moment, but will be a problem as Snapdragon gets bigger and takes up more of the room in my very short abdomen.

So, long story short, I have to have my anatomy scan at the big hospital instead of at the birth center. If my cyst is the same or smaller, they'll let it stay, but if it hits 8cm, the perinatologist wants me to have surgery, which will mean general anesthesia, a 3-inch incision in my abdomen, and 6-8 weeks of bed rest recovery time. Not fun.

I've been reading online and thinking about it for a few days now, and I think that I am inclined to refuse the surgery. The perinatologist assured me that the cyst looks simple and benign and that it does not threaten Snapdragon in any direct way. The major issues are that it could break, which would hurt like hell, or it could get twisted and cut off the blood supply to my ovary. Either of these things would be extremely painful and dangerous in terms of my ovary, but not necessarily bad for Snapdragon. The surgery will definitely be extraordinarily painful as well, so there's no net gain there. I would like to save my ovary if possible, but I'm fairly unexcited about having major abdominal surgery in my second trimester. The doctor told us that they couldn't do laparoscopic surgery during pregnancy, but wasn't very clear on why not.

We'll see. I'll be back at the big hospital in three weeks for the anatomy scan and we'll see if it has grown more. If it's about the same, there will be no talk of surgery, but if it is still growing, I'll need a second opinion.