What is Clitoromegaly?

Clitoromegaly is a condition in which the clitoris is bigger in size than usual. Clitoris is the part of female external genital system. Naturally clitoris is of various sizes in different women. But in clitoromegaly, the size of clitoris is abnormally large. There may be many reasons behind clitoromegaly, some of them are as follows; (1)It may occur during puberty. (2)Due to an atypical hormonal shift. (3)Sometimes it is present by birth and develops during fetal development in pregnancy. (4)The reason behind in born clitoromegaly may be DSD.


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Clitoromegaly is not a pathological condition but it indicates abnormality in hormones (if occurs later in life). Patient should consult a doctor if she needs any treatment. Clitoris is the homologue to penis. During fetal development, the genital organ of females develop in to clitoris and in males it develops in to penis. In case of clitoromegaly, during development of female genitals, fetus is more exposed to musculinizing hormones. And due to this, the size of clitoris become enlarged leading to clitoromegaly.


Clitoris is the part of external genitals of women. It is visible part of the external genitals in women. It can be easily seen outside the body. But in some cases, it is not visible outside the body and remains inside because of it's small size. Clitoris may also become enlarged due to administration of anabolic steroids i.e. testosterone. Clitoromegaly has a range of its appearance i.e. it may range from a clitoromegaly in women (abnormally large clitoris) to a proper normal male external genital appearance. When we discuss about the anatomy of clitoris, the usual size of clitoris by width is 3 to 4 mm and by length is 4 to 5 mm. While in case of clitoromegaly, the size increases i.e. 35mm ( product of crosswise width and lenthwise).

Clitoromegaly is a medical condition in which the size of clitoris is abnormally large than usual. As the name indicates, clitoro means clitoris and megaly means increase in size. Clitoris is the main part of the external female genitalia. It can be seen easily from outside the body. Basically clitoris is the homologue of penis in men. During fetal development, the external genital parts either develop in to a penis or clitoris. In clitomegaly, the size of clitoris is abnormally large. It more looks like swollen clitoris. There may be many reasons behind it. It may be acquired later in life or develop during pregnancy.

Clitoromegaly Definition

As the name indicates, clitoro means clitoris which is the part of external genitalia in women and megaly means abnormal  increase in size. So it is defined as abnormally increased size of clitoris in women. It is not a pathological condition and does not cause harm. It is a rare condition. In case of acquired clitoromegaly, enlargement of clitoris is an indication of abnormal level of hormones. In case it is present by birth, then the cause may be congenital adrenal hyperplasia.

Now a days, clitoromegaly is rare because of safe use of progestogens. It may also occur due to a syndrome named Fraser syndrome. It is an autosomal recessive congenital disorder. Polycystic ovarian syndrome and hyperthecosis are responsible for causing clitoromegaly later in life. So the diagnosis of root cause is necessary. Clitoral cysts may also be responsible for causing enlargement of clitoris.


Women using testosterone for some therapeutical reasons, may also develop clitoromegaly because of excessive exposure to testosterone. The treatment of clitoromegaly is according to the appearance range of clitoromegaly. Clitoridectomy is a surgical operation in which the size of clitoris is reduced. But after clitoromegaly, most of the women reported no physical sensation and anatomy so it is controversial.

Clitoromegaly Symptoms


Clitoromegaly is a medical condition in which the clitoris in women is bigger In size than usual. Clitoris is the part of external genitalia of women. It can be seen outside the body but in some women it is hidden inside the body. It is a rare condition and does not harm. This condition may be acquired or may present by birth. There are various reasons behind clitoromegaly. When we talk about its symptoms, it's appearance is the 1st sign. The physical appearance of clitoromegaly is described in a range. 


The range consists of some stages or forms in which clitoromegaly may look like. The 1st form or appearance in range is slight enlargement of clitoris in women. The increased size is visible and can be seen outside the body. Talking about last form or appearance of clitoromegaly in women, it looks more like penis (male genitalia). The enlargement of clitoris may be due to any infection or medical issue, so the symptoms will be according to the root cause. Women may feel discomfort and pain and swelling due to infection in clitoris. If proper care is not provided to the infection then it may get worse and the symptoms will not disappear till surgery. The patient should consult a doctor if following symptoms appear. 


  • When swelling occurs for more than 2 days and causes irritation along with itching and discomfort then there may be any infection or any other medical issue. 
  • If the color of clitoris turns red and causes discomfort. Along with these symptoms, patient may feel heat in the vaginal region. 
  • Patient may feel discharge from the vagina. The wattery discharge may be colorless and produces bad odour. 
  • Other than these, patient may experience blisters on the external genitalia of women. These blisters may be full of water or we can say fluid. Bursting of these blisters causes rash and itching on the skin. 
  • Itching is the common symptom of clitoromegaly. 
  • Patient may feel pain during urination. The pain may be intense according to the condition severity. 
  • There may be bleeding in the vaginal region. Bleeding may be due to the itching and scratching of clitoris. 
  • These are the main symptoms appear along with clitoromegaly. All the symptoms are localized and not systemic. There may be no problem in sexual attachment with partner. But if the infection got worse, then even slight touching may cause pain and rash. 


This was all about the symptoms of clitoromegaly. If some other symptoms appear then these may be due to the underlying cause. For example if the clitoromegaly is acquired, then the abnormal increase in level of hormones leads to some specific symptoms. If increased amount of testosterone is administered, then some other symptoms along with clitoromegaly may also occur. If the clitoromegaly is present by birth and was developed during fetal development, then the symptoms may vary according to the root cause. The treatment of clitoromegaly also depends upon the symptoms because sometimes treating the cause may ultimately treat clitoromegaly. 

Clitoromegaly Causes

Clitoromegaly is a medical condition in which the size of clitoris is abnormally large than usual. As the name indicates, clitoro means clitoris and megaly means increase in size. Clitoris is the main part of the external female genitalia. It can be seen easily from outside the body. Basically clitoris is the homologue of penis in men. During fetal development, the external genital parts either develop in to a penis or clitoris. In clitomegaly, the size of clitoris is abnormally large. It more looks like swollen clitoris. There may be many reasons behind it. It may be acquired later in life or develop during pregnancy. Main causes which may lead to clitoromegaly are as follows;

1st we shall talk about the causes which develop clitoromegaly later in life (adult life):

1. Sexual excitement is the common cause of enlarged clitoris. During sexual arousal or excitement, the size of clitoris automatically increased. This is because, during sexual excitement, the blood flow increases and more blood flows towards clitoris. This makes the clitoris look bigger. When women relax, the clitoris comes back to its original size. This may take hours to come back to its original size. Clitoromegaly due to sexual arousal does not harm women but if swelling remains for longer time, then it may cause irritation (while rubbing with clothes). 

2. Inflammation in the external genitals in women may also cause clitoromegaly. Basically the inflammation in vulva is responsible for causing clitoromegaly. Vulvitis is the term used to describe inflammation of vulva. Vulvitis may occur due to following main causes:
  • Due to any kind of infection. Most probably yeast infection or an infection which is sexually transferred. 
  • During intercourse or masturbation there is increased friction. And this friction leads to vulvitis. 
  • Vulvitis may occur due to interaction with any external agent like soap, detergent, lubricant or moisturizer. 

3. Hormonal changes are also responsible for causing clitoromegaly. Estrogen is a female hormone and androgen is a male hormone. Testosterone is an example of androgen. Increased exposure to any androgen in women is responsible for causing clitoromegaly. 

4. Polycystic ovary syndrome leads to clitoromegaly. As many cysts are formed on external genitalia. This syndrome increases the level of androgens in body and ultimately clitoromegaly occurs. 

5. Some anabolic steroids are responsible for increased level of androgens in body. So these anabolic steroids are counted as a cause for clitoromegaly. 

6. Tumor in adrenal gland may lead to abnormal production of hormones and the level of androgens increases. As a result, clitoromegaly occurs. 

Now we'll talk about the causes which may lead to clitoromegaly in childhood;

1. Congenital adrenal hyperplasia is the disorder in the adrenal gland. In this disorder, the adrenal gland produces excessive androgens leading to clitoromegaly. 

2. There may be a congenital disability that clitoris is enlarged in size by birth. 

3. Some other causes which may lead to clitoromegaly include;
  • A non cancerous tumor or a fibroma
  • A lympho angio fibroma. It is a non cancerous abnormal growth. 
  • An epidermoid cyst i.e. non cancerous in nature and the cyst is filled with a fluid

Clitoromegaly Size

Clitoromegaly is called as macroclitoris. It is basically enlargement of clitoris, may be acquired or congenital. Clitoromegaly in newborn, this feature is recognizable in girls. Easily detectable at birth. Neonatal Clitoromegaly is usually due to androgen stimulation or in utero androgen stimulation. The initial diagnosis in neonates is based upon clinical investigation. This Clinical investigation can lead to over diagnosis and stress for parents. Clitoris is a part of external genitalia. External genitalia abnormalities in first 2 days of neonate’s life considered as endocrine or genetic disorder.


Fetal clitoromegaly is usually due to maternal or fetal hormonal imbalance or due to treatment. If the fetus still show clitoromegaly in prenatal sonographic finding, then most probably there will be clitoromegaly chances in neonate.

The mechanism of clitoromegaly is exactly not known but some theories are there that some how relate the clitoromegaly, one theory is that vulva fat is not present that makes the clitoris appearance large, second theory is that high levels of androgen's lead to clitoromegaly. High androgen level may be due to high leutinizing hormone and re-programming of the ovary. One more reason of high androgens level is prolong synthesis and release of kisspeptin from the brain or placenta contribute in increasing gonadotropin hormone. But in childhood if clitoromegaly continues, these theories do not explain the reason.

In neonates, clitoris measurement is performed by using a digital campus having measurement sensitivity of 0.01cm. Firstly the genital part is measured that either the clitoris is covered by labia majora or not. Then baby is placed into the frog-leg position, and the length of the clitoris was measured. During the measurement procedure, the legs are secured by the assisting
nurse, physician separated the labia majora by using the thumb and second finger of
the left hand and then take the measurement.

Clitoris is known to be prominent in the newborn. Studies shows that the clitoris length should be less than 5 mm when it appeared to be covered by the labia majora. Clitoromegaly is clearly diagnosed when clitoris length is more than 1cm even if it is covered by labia majora. Newer studies showed that if clitoris length is more that 8mm then it should be carefully monitor, and if clitoris length is more than 10mm then we considered it as a pathological condition.

Study shows that the serum steroid profile should be done during the clitoromegaly period. 16-hydroxysteroid and 3β-hydroxy-5-enesteroid metabolites levels are increase. These changes may be due to immaturity in the adrenal gland of neonate. Sudden changes in the fetal clitoris may be parallel to the hormonal changes in the  immature adrenal gland. An association is shown between clitoromegaly and cloacal anomaly in many cases. Some cases of citoromegaly was shown in 15 to 16 week of gestation period but clitoromegaly was disappeared at 22 to 26 week of gestation period.
Treatment is surgical removal of the unnecessary part of clitoris or to wait till the adrenal gland matures in neonate.

Clitoromegaly Treatment

Clitoromegaly  is a medical condition in which the size of clitoris increases due to any reason. As the name indicates clitoro means clitoris and megaly means increase in size. The clitoris is the main part of female external genitalia. It can be easily seen outside the body. In case of Clitoromegaly , the clitoris looks like it is swollen. There may be many reasons behind Clitoromegaly . So the treatment is designed according to the cause behind it. There are some treatment options which are fairly used to treat Clitoromegaly .


If Clitoromegaly  occurs due to the allergic reaction. Then patient 1st have to avoid using that product which is causing allergy. Like patient should avoid using allergic products and clothes. Patient is advised to apply an ointment named cortisone cream. It is an over the counter product. It reduces irritation and itching of clitoris. Estrogen cream is also recommended along with sitz bath. As these can help in erasing symptoms.

In case of any infection, antibiotic therapy is used. The infection may be fungal or bacterial. Oral antibiotics are preferred in such cases. The antibiotics are over the counter drugs or sometimes a cream is recommended.

If there is any endrocrine gland problem, then a hormonal therapy is recommended. The androgens level are abnormally increased due to problem in endocrine. Hormone therapy helps a lot in reducing the increased size of clitoris. Sometimes doctor suggest reduction surgery which will help in reducing the size of clitoris.

If Clitoromegaly  is due to ovarian tumor then there are various treatment options which may be used according to the severity. These options include hormone therapy, chemotherapy, surgery or radiation therapy. All these helps to treat ovarian cancer and ultimately clitoromegaly  is treated. If Congenital adrenal hyperplasia (CAH) is the cause behind it, then clitoroplasty is recommended. Clitoroplasty is the surgical operation which is performed to reduce the size of clitoris.

When we talk about surgical operation i.e. clitoroplasty, it is performed with the help of surgical equipment and methods. It is a minor surgery and can be performed very easily. But after surgery, patient have to avoid routine activities for 3 to 4 days. There are some complications which are related to clitoroplasty. Patient may feel numbness in clitoris. There may be excessive bleeding after surgery. If the wound is not successfully healed, then there may be an infection. And this infection cause further problems like swelling and itching and redness. Patient have to avoid sexual intercourse until all the complications subside. Patient have to wait for all the complete healing of wound and recovery of symptoms and then she is allowed to have her time with her partner.

PCOS is also responsible for causing Clitoromegaly. So treating PCOS will help a lot in treating Clitoromegaly . Hormonal therapy is recommended in case of PCOS because the hormones are disturbed i.e. level of androgens increases which leads to Clitoromegaly . Testosterone is the hormone which usually increases and lead to Clitoromegaly .

Clitoromegaly Mild

Clitoromegaly  is a condition in which the size of clitoris is increased up to an abnormal level. It's name indicates the condition i.e. clitoro means clitoris and megaly means increase in size. The clitoris is part of external genitalia in women. It can be easily seen outside the body. In some cases, the clitoris is not prominent outside the body. Basically clitoris is the homologue to penis in men. After mating of sperm and egg, the zygote start developing in to a fetus. There are both male and female hormones which are responsible for development of sex organs. Increased level of female hormones (estrogen) leads to the development of clitoris and in men male hormones (androgens) leads to the development of penis. During development, there may be many reasons leading to Clitoromegaly .


There is a range of appearance of Clitoromegaly  in women. The range consists of different forms or phases. From slight swollen appearance to a proper penile appearance. The symptoms of Clitoromegaly  are according to the cause behind it. The Clitoromegaly , on the basis of severity, is divided in to three main conditions i.e. mild, moderate and severe. In mild form of Clitoromegaly , there is not much swelling of clitoris. And the symptoms are also light. Women may take it light and does not think about consulting with doctor. It may occur for some time and then resolve on it's own without any specific treatment plan. In case of mild Clitoromegaly , patient may feel slight pain and itching.

It may be due to an allergy. If there is an allergic reaction, then avoiding the product or clothing responsible for it help a lot in treatment. If a fungal infection or bacterial infection leads to Clitoromegaly  then antibiotic therapy will help to treat it. An ointment or oral dosage form of antibiotics can treat it and in case patient do not want to go through surgery. Surgery is performed only in severe cases. In mild Clitoromegaly  cases, ointments and creams work. Some over the counter drugs also help a lot. Mild Clitoromegaly  have only few reasons behind it like allergic reaction and fungal or bacterial infection. So treating these two conditions will automatically treat Clitoromegaly . Other causes of Clitoromegaly  may lead it to severe or moderate form of Clitoromegaly .

Moderate form of Clitoromegaly  is mostly seen in case of adrenal hyperplasia and PCOS etc. The mild form of Clitoromegaly  can be controlled easily and patient does not have to worry about it. Applying ointments and creams on it as prescribed by the doctor will make it better within days. The recovery is fast in mild Clitoromegaly . It will roughly take 1 to 2 weeks to recover. But patient have to avoid contact with her partner to ensure full recovery and best results of treatment. In case of hormonal disturbance, the hormonal therapy is preferred and this will take time to recover Clitoromegaly . As there may be further many reasons behind it. So picking up the right reason is a difficult task but helpful.

Clitoromegaly Moderate

Clitoromegaly is a condition in which the size of clitoris is increased up to an abnormal level. It's name indicates the condition i.e. clitoro means clitoris and megaly means increase in size. The clitoris is part of external genitalia in women. It can be easily seen outside the body. In some cases, the clitoris is not prominent outside the body. Basically clitoris is the homologue to penis in men. After mating of sperm and egg, the zygote start developing in to a fetus. There are both male and female hormones which are responsible for development of sex organs. Increased level of female hormones (estrogen) leads to the development of clitoris and in men male hormones (androgens) leads to the development of penis. During development, there may be many reasons leading to Clitoromegaly.


Clitoromegaly might be of different forms depending upon their root cause. Moderate clitoromegaly might be due to some kind of allergy, infection or due to any other pathological condition. Another cause of mild clitoromegaly is increase in number of cells which termed as clitoral hypertrophy. This condition may lead to severe clitoromegaly if it is associated with any infection or pathological condition.

In case of moderate Clitoromegaly, patient may feel slight pain and itching and redness of clitoris. Some time burning sensation is core symptoms associated with moderate clitoromegaly due underlying inflammatory process. Though, clitoral infection is not a common thing but it might a cause of mild Clitoromegaly that leads to severe Clitoromegaly.

In moderate Clitoromegaly cases, hormonal therapy and some drugs work. Some over the counter drugs also help a lot. Moderate Clitoromegaly have only few reasons behind it like allergic reaction and fungal infection and hormonal disturbance due to adrenal hyperplasia. So treating these conditions will automatically treat Clitoromegaly. Other causes of Clitoromegaly may lead it to severe form of Clitoromegaly.

Treatment of Mild clitoromegaly is not necessary until and unless it causes intense pain or infection is suspected. In case there are no physical symptoms like pain, burning, itching or inflammation then simple homemade remedies are very beneficial. Apply aloe vera gel on affected area because it provides localized soothing action. Aloe vera is also help in number skin problems like dermatitis, itching, psoriasis etc. Take epsom salt bah which is very famous for its properties like soothing agent, anti-itching agent, antiseptic solutions and PH stabilizer. 

Clitoromegaly Severe

Clitoromegaly is a medical condition in which the clitoris is increased in size than usual. It can be easily defined with it's name i.e. clitoro means clitoris and megaly means increase in size. Clitoris is a part of female external genitalia and can be easily seen outside the body. Only in rare cases, it is inside the body. In clitoromegaly, the clitoris is all outside the body due to swelling or we can say increase in size. Due to swelling the clitoris become red in color and patient may feel itching.


Clitoromegaly is not a pathological condition because it is just enlargement in size of clitoris and there is nothing more than this. Clitoromegaly is a medical condition which requires treatment according to its underlying cause. There are two main categories regarding causes of clitoromegaly. 1st one is congenital cause (contains congenital adrenal hyperplasia) and other one is acquired cause (contains many causes of creating clitoromegaly). The congenital causes include congenital adrenal hyperplasia. It further have some causes behind it. These kind of causes lead to severe clitoromegaly and treating them is a difficult task. Hormonal therapy is recommended in such cases.

The appearance of clitoromegaly matters a lot. In severe cases, the clitoris resembles a lot with a penis or we can say it has a penile appearance. This can only be corrected with the help of surgery. Other causes may include  increased intake or increased exposure of body to testosterone. Testosterone is a hormone which is the type of androgen. Androgens are male hormones which are responsible for development of penis in men. Penis is the homologue of clitoris in women.

So when the level of androgens increases in body, the clitoris become swell and looks more like penis. It makes the situation worse and a surgical procedure is required to treat it. Surgery is only recommended in severe cases, but in mind or moderate cases, it is recommended to treat it with the help of medication and hormonal therapy. Symptoms regarding severe cases may include the following;

  • Patient may feel severe itching and pain in the clitoris and surrounding region. 
  • There will be more more swelling and redness. 
  • Patient feels uncomfortable while walking or running because it can easily touch the clothing and sides leading to uncomfortable walking and running. 
  • In severe cases, there may be pain in the clitoris and the surrounding region. 
  • Along with all these symptoms, patient have to avoid contact with her partner because sexual interaction can make it worse. Even patient can't bear the pain generating due to sexual excitement. 
  • All these symptoms can be treated with the help of surgery. Along with surgery, the other treatment plans are also followed. Like along with surgical correction, patient have to take antibiotics to avoid infection. If any allergy is the cause, then anti allergic products are used along with surgical procedure. 
  • In severe cases of clitoromegaly, patient can't move properly because of swelling in the clitoris so mostly patients demand emergency treatment.

Clitoromegaly Surgery

Clitoromegaly is a medical condition which can be treated with a surgery named clitoroplasty. Clitoroplasty is a surgical procedure which corrects the shape of clitoris and reduces its size. Clitoroplasty is a specially designed surgical procedure which is performed to improve the appearance of clitoris in women. It is also performed in people transforming their gender from male to female.


Clitoroplasty is also known as clitoral hood reduction. It is named so, because it reduces the clitoral hood in some patients. Clitoroplasty is performed in Clitoromegaly but it is not specified to it. It can also be performed in many other clitoral disorders like clitoral prepuce. In Clitoromegaly the clitoral hood is reduced to the original size and as a result the overall size of clitoris is reduced.

Clitoroplasty is performed for two main purposes 1st one is cosmetic purpose and 2nd one is for medical purpose. When it is performed for a medical reason like Clitoromegaly, then the main purpose is to restore the appearance of clitoris which was changed due to any infection or trauma. It is performed in case of a congenital disorder i.e. congenital adrenal hyperplasia. Patient who require clitoroplasty are the one who suffer from following conditions:

  • Clitoromegaly or clitoral hypertrophy is the main reason. It is defined as enlargement of clitoris than usual due to any disease like polycystic ovary syndrome or due to the side effect of medications. These medications may be testosterone supplements and anabolic steroids. 
  • Patients with congenital adrenal hyperplasia. It is a birth defect in which the clitoris is larger in size than usual. There may be shallow vagina due to Gene mutations. 
  • Patients having large clitoral hood. These clitoral hood can lead to reduced sexual sensations in women. 
  • Any trauma or injury in clitoris leads to problem in it which can be treated with clitoroplasty. 
  • Patients who wants to change their gender from male to female. 
  • Some women prefer it to improve their genital appearance. 

Now talking about the procedure of clitoroplasty, it is a minor surgical procedure. It can be performed in the office of surgeon under the effect of local anesthesia. It will take less than an hour to complete. The recovery time is short because it is a minor surgery and patient recover fast. Patient may come back to her routine within 2 to 3 days. After clitoroplasty, patient is strictly advised to stay away from her partner untill all the wound and swelling disappear or heal completely. The manner of surgery depends upon the purpose like whether it is performed for length reduction or clitoral reconstruction.

  • In case of clitoral hood, the excessive skin around clitoris is removed and the clitoris is pulled up. After that the exact shape is stitched.  
  • There are some complications and risks related to the clitoroplasty. Some of them are described as follows;
  • There may be a scar left due to surgery, discoloration of skin, infection, tissue buildup, there may be excessive bleeding due to which blood level falls, necrosis and numbness.

Clitoromegaly Pcos

Clitoromegaly is a condition in which the size of clitoris increases than usual. The size of clitoris varies from individual to individual but exceeding to a problematic level may cause harm to patient. Clitoris is the part of external  female genitalia. It can easily be seen outside the body but in Clitoromegaly, it is abnormally large and cause irritation on touch with clothes and body.  Clitoromegaly may occur due to many reasons and PCOS is one of them. PCOS means polycystic ovarian syndrome. In this syndrome, the hormones are disturbed and specifically the level of male hormones increases.


Male hormones are androgens and the androgen responsible for causing Clitoromegaly is testosterone. The period span increases in women with polycystic ovarian syndrome. This disturbance in hormones of women lead to Clitoromegaly. Polycystic ovarian syndrome develops in the age of development. Various small fluid follicles are produced in ovaries and these follicles do not let ovary to release eggs. PCOS is not the common cause of Clitoromegaly because it does not develop in every women. Hormonal therapy is used to treat polycystic ovarian syndrome. Pcos itself is a cause of Clitoromegaly but there are many causes leading to PCOS like Genetic problem, insulin resistance, obesity and last but not least inflammation in body. Talking about the symptoms of polycystic ovarian syndrome, other than Clitoromegaly, heavy bleeding occurs along with irregular menstrual cycle.

Women may experience hairs on her body. Increased no. of male hormones lead to weight gain and acne. In rare cases, women may experience baldness and severe headache. Dark patches are formed on the skin. Hormonal therapy is the only treatment designed for polycystic ovarian syndrome because it is an abnormality in hormonal level. The increased level of androgens in body leads to the penile appearance in place of clitoris. Clitoromegaly has a scale on the basis of appearance of clitoris. This range starts from a slight swelling and enlargement of clitoris to proper penile appearance of clitoris.

And the treatment plan is designed according to it. If polycystic ovarian syndrome is the reason behind Clitoromegaly then along with surgical correction of clitoris, syndrome is also treated with its specified treatment plan. The treatment of polycystic ovarian syndrome consist of birth control pills. Birth control pills contains estrogen and progestin which restores the level of female hormones and reduce the level of androgens i.e. testosterone. Metformin is also prescribed to regulate the level of insulin.

Because polycystic ovarian syndrome reduces the level of insulin in body. Clomiphene is another drug which is also known as fertility drug. This drug helps a lot in pregnancy. As polycystic ovarian syndrome promote hair growth on body. And hair removal medicines are used to remove these hair. Eflornithine is the hair removal medicine. These medicines do not permanently remove hair but weaken their roots and then laser or electrolysis treatment helps to remove them permanently. Now talking about surgery, surgical procedure i.e. clitoroplasty is performed for surgical correction of clitoris in Clitoromegaly.

Clitoromegaly Steroids

Clitoromegaly is called as macroclitoris. It is basically enlargement of clitoris, may be acquired or congenital. It is induced form of clitoris due to various use of anabolic steroids. It is different form of normal enlargement of clitoris due to sexual arousal. Anabolic term refers to a compound that enhance anabolism of building complex compounds to simpler complex compounds. It can also effect the heart, kidney and liver.


Women who have poly cystic ovarian syndrome having elevated androgen hormones may cause enlargement of clitoris.

Female body builders and athletes often become a victim of Clitoromegaly due to the use of steroids. Female body builders and athletes use anabolic and androgenic steroids that help to make the strength and muscular growth and helps to improve athletic performance and reduce body fats deposit, strengthen bone tissue, helps muscles to reach the right volume and increase bone density, the effects of anabolic steroid produces in tissues. Some nutritional supplements also contain steroids may also cause Clitoromegaly.

Clitoromegaly steroids are caused due to excessive adrenal activity, that will lead to the excessive quantity of androgen hormone. Anabolic steroids are the group of substance that is similar to hormone testosterone. It also caused masculinization, it is the appearance of secondary male sexual characteristics in women. These anabolic steroids will produce male hormones in female body Few examples of anabolic steroids are:

Most anabolic steroids contains testosterone and its derivatives like 4 hydroxytestosterone, boldenone, clostebol, usually taken without medical advice that women should avoid. Long term testosterone cause irreversible side effects.Name of medicines that contain testosterone is testosterone cypionate, testosterone undecanoate, testosterone propionate, testosterone enanthate. These medicines women should avoid.

Deca durabolin in women cause side effects that are hair growth, oily skin, irregular menstrual cycle, Clitoromegaly. It should be used under experienced physician or surgeon. Trenbolone is a most strong anabolic steroid and most commonly sold and specially used for muscular growth and muscle strength for best results. Trenbolone is well known steroid due to high protein synthesis and increase nitrogen retention in muscles. Women should avoid trenbolone at any cost, even in low dose they cause side effects and clitoral enlargement.

Dianabol is a less anabolic steroid as compared to trenbolone and deca durabolin. But it can cause side effects in women even in low doses. Dianabol most commonly used by men for increasing muscular growth, even dose of dianabol used by man gain 20lbs of muscle in few weeks, so how much it effects the women,

After Use of anabolic steroids for six months, clitoris will come to its normal position , if clitoris will not come to its normal shape then it will not possible. Some surgeons says even if use of anabolic steroids are stopped and hormone levels are not increased then Clitoris normal shape is irreversible. Only one solution is present to bring clitoris into its normal position is surgery. Patient under go citoroplasty under general anesthesia. Patient must followed up for at least 1 year after the operation.

Clitoromegaly Images

Normal anatomy of female external genitalia.

Clitoromegaly Definition, Size, Images, Symptoms, Causes, Treatment
Clitoris is a homologue to penis varies in size and appearance. Clitoromegaly is a rare condition in which females have extra large clitoris. Normally, this condition occurs during the development of fetus inside the womb. It is said that muscles growth increases the production of hormones in the body of a pregnant women due to anabolic steroids. This leads to the expansion of clitoris.

Clitoromegaly Images

This large size clitoris is a expansion of clitoris occurs because of hormonal imbalance in the body of a female. This hormonal imbalance may occur at any stage like fetal development, at puberty or even in late ages. If this condition exsis in a newborn girl then it indicates that there were additional androgens hormones that is being produced in the fetal development.

Recently, it was disclosed that imbalance of endocrine hormone affects the health of adult women. This condition further indicates the development of hyperthecosis and PCOS (Polycystic Ovarian Syndrome). Tumors and cysts in the ovarian region may also the cause of the clitoromegaly.

Most of the females that is involved in bodybuilding and athletic activities use high doses of androgens for muscular growth and muscle strength. Misuse and unnecessary intake of androgens is the biggest cause of Clitoromegaly in athletes. Masturbation is also a main leading cause of clitoris enlargement in young girls. It has been reported those young girls that involved in masturbation mostly have increase in the size of labia minora and prepuce.

Clitoromegaly in prenatal sonographic finding, that shows enlarge clitoris in womb.
Clitoris is known to be prominent in the newborn. Studies shows that the clitoris length should be less than 5 mm when it appeared to be covered by the labia majora. Clitoromegaly is clearly diagnosed when clitoris length is more than 1cm even if it is covered by labia majora. Newer studies showed that if clitoris length is more that 8mm then it should be carefully monitor, and if clitoris length is more than 10mm then we considered it as a pathological condition.

Clitoromegaly Images

Clitoromegaly Images
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