When a person is not aroused, a hormonal imbalance or another medical condition can cause enlargement of the clitoris. This is known as vulvitis, which describes inflammation of the vulva. Specific Procedures Surgical techniques for management of clitoromegaly can broadly be divided into three categories: Perioperative Considerations Endocrine Management Prior to embarking on major surgery such as clitoroplasty, the patient must be in optimal physiologic condition.
Your clitoris and labia will swell as pleasure builds up. Adrenal androgen concentrations later in the day and after medication will be lower, and target levels for hormones measured in this manner are unknown; thus, hormones are best measured early in the morning and before medication. As we will see, despite its importance, there has been a dearth of data in this regard. You have an endocrine disorder. Thus, patients with non-classic CAH do not have cortisol deficiency but instead may have manifestations of hyperandrogenism, later in childhood or in early adulthood. Perioperative Considerations Endocrine Management Prior to embarking on major surgery such as clitoroplasty, the patient must be in optimal physiologic condition. Ovarian tumors Certain types of ovarian tumors , such as Sertoli-Leydig cell tumor and steroid cell tumor, can produce androgen. If vaginoplasty is not undertaken simultaneously, one should always use the sinus tissue to create a more female-like vulva. When a woman is sexually excited consciously or unconsciously , her clitoris will typically become engorged with blood, so that it will become warmer and larger. It can also be caused by the autosomal recessive congenital disorder known as Fraser syndrome. You may also need to use an over-the-counter OTC cortisone cream to reduce irritation and itching. Certain conditions and infections can cause your vulva, which includes your clitoris and labia, to become temporarily inflamed. Pseudoclitoromegaly or pseudohypertrophy of the clitoris "has been reported in small girls due to masturbation: This will not harm a person, but if the clitoris remains swollen and rubs against clothing, it can cause irritation or discomfort. Although the same gene, CYP21A2, is involved in both the severe and mild forms, genetic mutations typically associated with non-classic CAH result in substantially less impairment of hydroxylase activity. Outlook There is no standard size for a clitoris, but it usually grows with sexual arousal. If a person handles the genitals more gently, discomfort should subside within a day or two. The crura were dissected back to the bifurcation of the crura. Your doctor may also tell you to take a sitz bath and use a topical estrogen cream to ease your symptoms. Prior to complete removal, a hemostat was carefully placed across the attenuated tip of the corpus to control the clitoral artery. The use, distribution or reproduction in other forums is permitted, provided the original author s or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. This article has been cited by other articles in PMC. Clitorises naturally vary in size, just like breasts and penises also do. These symptoms may be a sign of a vaginal infection or another underlying medical condition. A dilute solution of papaverine 1: This contention was later brought into question as reports of patients with sexual inhibition and ambivalence toward sexual activity began to surface
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