Clitoromegaly or macroclitoris [1] is an abnormal enlargement of the clitoris that is mostly congenital or acquired, though deliberately induced clitoris enlargement as a form of female genital body modification is achieved through various uses of anabolic steroids, including testosterone , and may also be referred to as clitoromegaly. The different grade of genital ambiguity is commonly measured by the Prader classification , [6] which ranges, in ascending order of masculinisation, from 1 : female external genitalia with clitoromegaly through 5 : pseudo-phallus looking like normal male external genitalia. Clitoromegaly is a rare condition and can be either present by birth or acquired later in life. If present at birth, congenital adrenal hyperplasia can be one of the causes, since in this condition the adrenal gland of the female fetus produces additional androgens and the newborn baby has ambiguous genitalia which are not clearly male or female.
The Clitoris, the Penis, Political Correctness and Biological ‘Factness’
Ambiguous genitalia: MedlinePlus Medical Encyclopedia
Management of the enlarged clitoris, because of its import for sexual function, has been and remains one of the most controversial topics in pediatric urology. Early controversy surrounding clitoroplasty resulted from many factors including an incomplete understanding of clitoral anatomy and incorrect assumptions of the role of the clitoris in sexual function. With a better understanding of anatomy and function, procedures have evolved to preserve clitoral tissue, especially with respect to the neurovascular bundles. These changes have been made in an effort to preserve clitoral sensation and preserve orgasmic potential. It is the goal of this manuscript to describe the different procedures that have been developed for the surgical management of clitoromegally, with emphasis on the risks and benefits of each. Equally important to any discussion of such a sensitive topic is an understanding of long-term patient outcomes.
In my previous post, The Myth-Busting Sexual Anatomy Quiz , one of the answers in particular prompted comments and questions. But how can this be and does it really matter? Of course, the statement was meant to be contentious and spark discussion. When we talk about sex and gender we are storytelling. And, how we set the scene for our stories is key.
Clitoral enlargement methods are forms of body modification that have the potential to enhance the size of the clitoris and increase sexual pleasure. Clitoral enlargement can be accomplished through a variety of means, each potentially having certain side effects and risks. The congenital or acquired medical condition known as clitoromegaly or macroclitoris, contrasts intentional enlargement of the clitoris, though any abnormal enlargement of the clitoris is sometimes referred to as clitoromegaly. Motivations for desiring enlargement of the clitoris vary.