Circumcision is one of the most common surgical procedures in infants and male children, which is performed for religious, cultural or medical reasons. In Iran, circumcision is often performed in two ways: traditional circumcision and circumcision with modern medical methods such as ring or suture surgery. In the meantime, traditional circumcision is still performed in many parts of the country due to its simplicity and easier access. But one of the most important concerns of parents after traditional circumcision is bleeding. In this article, we will take a closer look at the causes of bleeding after traditional circumcision, aggravating factors, dangerous symptoms, and necessary measures for its prevention and treatment. Why is traditional circumcision still common? In some areas, families prefer traditional circumcision for religious or cultural reasons. Traditional circumcision is usually performed by a person called a "circumciser" who may not have a medical background but is experienced in doing so. In many cases, these circumcisers use a simple razor or knife and do not have sterile equipment. This can increase the risk of infection or bleeding. The main causes of bleeding after traditional circumcision Bleeding after circumcision can be normal or abnormal. A small amount of bleeding is normal in the early hours, but if it continues or becomes severe, it can be dangerous. The main causes of bleeding are as follows: ### 1. Non-standard cut In traditional circumcision, a simple tool such as a razor is usually used. If the incision is made too deep or in the wrong place, important blood vessels will be damaged and bleeding will increase. ### 2. Inadequate occlusion of blood vessels In modern procedures, the doctor closes (ligates) the cut blood vessels with surgical thread to stop the bleeding. In traditional circumcision this is not often done. ### 3. Use of non-sterile tools Non-sterile instruments can lead to infection. Circumcision infection is one of the causes of late bleeding. ### 4. Coagulation problems in newborns Some babies have blood clotting disorders such as hemophilia. If these problems are not diagnosed before circumcision, there is a possibility of heavy bleeding. ### 5. Injury or open wound In the days after circumcision, opening of the wound or damage to the suture (if sutures were used) can lead to bleeding. Symptoms of dangerous bleeding after circumcision Not all bleeding needs emergency treatment. But if you see the following symptoms, you should see a doctor immediately: - Heavy and continuous bleeding that does not stop with direct pressure. - Complete wetting of the diaper in a short period of time (for example, every 15 to 30 minutes). - Paleness, lethargy or abnormal sleepiness of the baby. - Cold hands and feet or bruised skin. Excessive swelling, pus or bad smell of the wound, which is a sign of infection. Ways to reduce the risk of bleeding after circumcision To prevent bleeding and possible complications, the following measures are suggested: ### Choosing a specialist doctor The most important thing is to perform circumcision by a pediatrician or an experienced surgeon. By following the principles of sterilization and the correct technique, the doctor minimizes the possibility of bleeding. ### Examination of the coagulation status of the baby's blood Before circumcision, if there is a history of hereditary diseases, the necessary tests should be done to diagnose coagulation problems. ### Post-circumcision care - The circumcision site should be kept clean and dry. - The baby's diaper should be changed regularly. - Avoid wearing tight clothes. - If you see slight bleeding, press the wound with sterile gauze and gentle pressure. When should we see a doctor? If the bleeding is severe and is not controlled by direct pressure within a few minutes, it is necessary to see a doctor immediately. Sometimes it will be necessary to re-stitch or inject blood clotting drugs. Why is medical circumcision safer? In modern medical procedures, the doctor uses sterile surgical instruments and scientific techniques. Tying the veins, basic suturing or using a circumcision ring (Plastibell) will minimize bleeding. For this reason, families who care about the safety and health of their children often perform circumcision at a specialist doctor. Dr. Kambiz Herman Moghadam's experience in circumcision Dr. Kambiz Herman Moghadam is a specialist in circumcision of infants and children in Tehran, who has many years of successful experience in this field. By using the latest medical methods, he greatly reduces the risk of infection and bleeding and provides peace of mind to parents with post-circumcision care. conclusion Bleeding after traditional circumcision is one of the most common concerns of parents. Although light bleeding is normal, it can be dangerous if not controlled. Bleeding can be prevented by choosing a scientific circumcision method, observing hygiene, basic care and visiting an experienced doctor. If you need advice or safe circumcision for your child, you can contact the office of Dr. Kambiz Herman Moghadam.