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

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

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.