The terminal nerves there end in the foreskin and dorsal glans. Because you lose so much sensation you have to work much harder to get the same sensation which affects sex completely. Just getting ethical approval is a major hurdle, even though circumcision itself has never had ethical approval. One colleague informed me that the angry reviewer was the first author of the above letter to the editor. Similarly, there are increased risks of abuse with a stepparent in the family, and when family breakdown results in institutional or foster care. A more controversial literature links multiple personality disorder with child sexual abuse Bucky and Dallenberg ; Spanos Male circumcision is being promoted for HIV prevention in high-risk heterosexual populations.