Circumcised men; more likely to be carriers of yeast infection than uncircumcised men.

A study performed at the Westminster Hospital, London showed yeasts were isolated at similar rates in both circumcised (14%) and uncircumcised men (17%). It had previously been thought that uncircumcised men are more likely to carry yeast than circumcised men . There was also no significant difference between homosexual and heterosexual men.

Circumcised men, however, had significantly fewer symptoms, showing that men may be infected while presenting little or no signs. The report predicted that asymptomatic carriers are very likely to be overlooked as a potential source of infection to women. Asymptomatic men are unlikely to attend a clinic and could therefore be a greater risk of infection to their female contacts than uncircumcised men who are more likely to seek help due to experiencing symptoms. It is therefore suggested by the authors of the study that men carrying yeast should be treated whether they are experiencing symptoms or not.

Women who have contact with men carrying yeast have an extremely high infection rate of 80%. It is therefore recommended that infected men inform women they have had contact with and both parties should be treated.

Men who are in contact with infected women are four times more likely to be yeast-positive than those who are not. It is therefore just as important that women inform men they have had contact with as soon as symptoms arise so both parties can be examined and treated. All male contacts of women with genital yeast infection should be examined.
Male examination involves swabbing of the urethral meatus and coronal sulcus. Smears are made of the swabs and examined under the microscope. It is a simple process taking only a few minutes to perform.

Although this report was written in 1977, the importance of the study has not changed over the last 30 years. Men are still unaware they can be carriers of yeast regardless of symptoms and are still reluctant to seek advice even when symptoms arise. Men are still embarrassed to talk about it and many still believe yeast infections to be a problem only for women.

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