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Male circumcision has been a subject of controversy for a number of reasons including religious, ethical, sexual, and medical. During the late 19th and early 20th centuries, the primary justification for circumcision was to prevent masturbation and intentionally reduce male sexual pleasure, which was believed to cause a wide range of medical problems. Modern proponents say that circumcision reduces the risks of a range of infections and diseases, and confers sexual benefits. By contrast, some opponents, particularly of routine neonatal circumcision, question its utility and effectiveness in preventing such diseases, and object to subjecting newborn males, without their consent, to a procedure they consider to have dubious and nonessential benefits, significant risks, and a potentially nega