Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Genital Herpes Health Center

Font Size

Rare Circumcision Ritual Carries Herpes Risk

Traditional Jewish Practice May Put Babies at Risk for Genital Herpes Infection
WebMD Health News
Reviewed by Ngozi A. Osondu, MD

Aug. 2, 2004 -- A rare Jewish circumcision practice may put young infants at risk for genital herpes with potentially severe complications, according to a new study.

Researchers in Israel have documented eight cases in which male infants became infected with the herpes simplex virus type 1 (HSV-1) after undergoing circumcision that included direct oral-genital contact between the infant and the circumciser (mohel). One of the infants suffered brain damage as the result of his infection.

Male circumcision is the removal of the foreskin (prepuce), which is a fold of skin that covers and protects the tip of the penis.

According to Jewish custom and traditions, newborn Jewish boys are ritually circumcised at eight days of age, and complications are generally very rare.

However, a small number of Orthodox rabbis advocate an ancient practice in which the circumciser sucks the blood from the infant's circumcision wound until the bleeding stops, a ritual known as metzitzah.

Researchers say the vast majority of ritual circumcisions are currently performed with a sterile suctioning device and not oral suction by the mohel.

Rare Circumcision Ritual Puts Infants at Risk

In their study, published in the August issue of Pediatrics, researchers describe eight cases in which Jewish infants developed genital herpes an average of a week after circumcision. None of the infant's mothers had evidence of oral or genital herpes, the most frequent modes of transmission to newborns.

In all cases, the traditional circumciser had performed the metzitzah custom involving direct oral contact with the infants' genitals.

Six of the infants required treatment with intravenous antibiotics, and four had recurrent genital herpes infections. In addition, one infant suffered brain damage and seizures as a result of complications caused by his infection.

Four of the mohels were available for testing, and all of them tested positive for antibodies for HSV-1, which indicated that they were carriers of the virus. Yet none had tested positive for the virus in their mouth.

Researchers say that after the initial cases of herpes in circumcised infants were reported, the Chief Rabbinate of Israel pronounced in 2002 the legitimacy of using instrumental suction in cases in which there is a risk of infection.

"We support ritual circumcision but without oral metzitzah, which might endanger the newborns and is not part of the religious procedure," write researcher Benjamin Gesundheit, MD, of Ben Gurion University in Israel, and colleagues.

Today on WebMD

STD Overview
BHC Healthy Sex Life
things your guy wish you knew slideshow
Sex Drive Killers 03
Genital Herpes Risks Quiz
Young couple holding hands
Hepatitis Prevent 10
Herpes Vaccine Study
Daughter Development Evaluator
HPV Vaccine Future
STD Facts Quiz
mother and daughter talking

WebMD Special Sections