Age 31, would clitoral hood reduction prevent clitoros from enlarging?

Question

Hi I’m a 31 y/o woman, I am very insecure with my clitoris as it is quite prominent, my main concern is that when aroused it gets a lot larger, I believe I have clitoromegaly due to pcos. Would a clitoral hood reduction prevent my clitoris from enlarging so much during arousal or would it not be the correct surgery? thank you

Jennifer Adams, MD · Answer

Hello there,
An enlarged clitoral hood is usually caused by either a hormonal abnormality or a genetic condition. While the clitoris does get engorged and enlarged with stimulation, the size remains large with clitoromegaly and cannot be reduced by a surgical procedure without injuring the clitoris itself. If you are concerned you have clitoromegaly, I suggest seeing a board-certified Gynecologic for an evaluation.
Hope that helps!
Sincerely,Jennifer Adams MD, FRCSC

Gary J. Alter, MD · Answer

A clitoral hood reduction will not resolve your issue, but will make you worse if a clitoris reduction is not also done. It will not prevent your clitoris from enlarging and protruding. A clitoropexy will not work, because your enlarged clitoris will pull out the sutures. Have you ever taken male hormones or had a hormone issue. You may want to see an endocrinologist to evaluate your hormone levels, but they are usually normal.

Very few surgeons perform a clitoris reduction, since it is technically challenging and is rarely taught. It is an intricate procedure, since the sensory nerves have to be carefully preserved.  I have done over 60 reductions without any loss of sensation or orgasmic ability. The clitoral reduction reduces the glans or head and also removes the erectile tissue in the shaft. After surgery, the clitoris will not stick out much or increase with arousal. The surgery is not very uncomfortable.  It takes up to 3 1/2 hours and includes clitoral hood reduction.  A labia minora reduction and/or labia majora reduction or enlargement can be done at the same time. As the inventor of the central wedge labiaplasty, I recommend this technique as it gives a very natural appearance.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NY

Burcak Tok, MD · Answer

Hello, if there is a large size in the clitoris body, clitoral hudoplasty does not reduce its growth on stimulation. In fact, there will be a wrong operation and you will feel discomfort and tension in the relationship. get well soon

Mark N. Scheinberg, MD · Answer

THANK YOU FOR YOUR QUESTIONNO. THE CLITORAL HOOD IS THERE TO PROTECT THE GLANS WHEN YOUR NOT SEXUALLY AROUSED BUT ELEVATES OUT OF THE WAY DURING SEXUAL STIMULATION. REDUCING THIS PROTECTION WILL NOT PREVENT ENLARGEMENT.

Marco A. Pelosi III, MD, FACOG, FACS · Answer

The clitoris always enlarges when it gets aroused. It's caused by increased blood flow to the whole area. That's what it's supposed to do. Clitoral hood reduction is only done to reduce excess loose skin along the sides of the hood for either comfort or aesthetic concerns. Clitoromegaly is not caused by PCOS.

Ozgur Kartal, MD · Answer

The clitoris and the clitoral hood are very different things. The male homologue of the clitoris is the penis. The male homologue of the clitoral head is the foreskin.
Being circumcised, that is, cutting the circumcision lesson, does not prevent the penis from growing when the penis is stimulated.
Likewise, shrinking the clitoral hood does not prevent the enlargement of the clitoris.

Susan Mikaelian, MD · Answer

Hello, it is quite normal for the clitoris to enlarge when aroused as blood flow comes into the area. This is the normal physiology of this organ and allows for sexual function and pleasure. A clitoral hood reduction surgery does not actually involve the clitoris itself, but reduces the skin over and around it, so it would not affect the size of your clitoris itself. Hope this answers your question.

Omar Quaba, MA, FRCS (Plast) · Answer

Thanks for the question. A clitoral hood reduction WILL NOT affect the clitoris itself. You will appreciate that no surgeon will cut into the clitoris itself. If anything a clitoral hood reduction may expose the clitoris and make it look more obvious.

Age 31, would clitoral hood reduction prevent clitoros from enlarging?

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