Clitoromegaly
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Clitoromegaly | |
|---|---|
| Synonyms | Clitoral hypertrophy |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Enlarged clitoris |
| Complications | Urinary tract infection, sexual dysfunction |
| Onset | Congenital or acquired |
| Duration | Varies |
| Types | N/A |
| Causes | Congenital adrenal hyperplasia, androgen insensitivity syndrome, exogenous androgen exposure |
| Risks | Hormonal imbalance, genetic disorders |
| Diagnosis | Physical examination, hormonal assay, genetic testing |
| Differential diagnosis | Virilization, intersex conditions |
| Prevention | Avoidance of unnecessary androgen exposure |
| Treatment | Surgical reduction, hormone therapy |
| Medication | N/A |
| Prognosis | Depends on underlying cause |
| Frequency | Rare |
| Deaths | N/A |
Clitoromegaly is a medical term that refers to an abnormal enlargement of the clitoris. This condition is not a disease in itself, but is often a symptom of certain underlying health issues.
Causes
Clitoromegaly can be caused by a number of conditions, including:
- Congenital adrenal hyperplasia: This is a group of inherited conditions that affect the adrenal glands. The most common form of this condition can cause clitoromegaly in females.
- Polycystic ovary syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.
- Androgen insensitivity syndrome: This is a condition that affects sexual development before birth and during puberty. People with this condition are genetically male, but the external appearance of their genitals may be atypical or female.
- Doping: The use of performance-enhancing drugs, particularly anabolic steroids, can cause clitoromegaly.
Symptoms
The main symptom of clitoromegaly is an enlarged clitoris. The size can vary from slightly larger than average to the size of a penis in severe cases. Other symptoms can include:
- Increased sensitivity or discomfort
- Changes in sexual desire
- Psychological distress or embarrassment
Diagnosis
Diagnosis of clitoromegaly is usually based on a physical examination. The doctor may also order blood tests to check hormone levels and rule out certain conditions. In some cases, imaging tests such as an ultrasound or MRI may be used to look at the internal structures of the clitoris.
Treatment
Treatment for clitoromegaly depends on the underlying cause. If the enlargement is due to hormonal imbalances, hormone therapy may be recommended. In cases where the size of the clitoris is causing discomfort or distress, surgery may be considered.
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Contributors: Prab R. Tumpati, MD