Women’s private parts are always covered up when they are talked about. It is a very private and important place, so it has attracted people’s attention time and again and we have to explore it again and again. What we are studying today is the common problems of female clitoris.
People’s understanding of the clitoris is constantly deepening. There are great individual differences in the size, shape and position of the female clitoris, some of which are only a little big, and some of which are abnormal hypertrophy due to long-term excessive androgen consumption or excessive androgen secretion in the body; Some are also divided into two parts, only connected at the root.
Because its location is hidden and often involves sexual diseases, it is also shy to talk and seek treatment when it is abnormal, and patients often suffer unspeakable psychological and physical pain silently.
Therefore, clitoral lesions are a very noteworthy topic in sexual problems. All pathological processes that can affect other organ systems of the body will also affect the clitoris. These pathological changes include infection, tumor, inflammation, atrophy, scar, etc. the following is a brief introduction of the common clinical ones, in order to attract people’s attention.
I. clitoral pain
The clitoris is small and delicate. Usually, it is covered by the clitoris foreskin, and there is no lubricant secretion nearby. Therefore, it is not surprising that improper touch can cause pain; At or after orgasm, the clitoris head will become overly sensitive like the glans of the penis. Touching it again will undoubtedly cause pain. The above two situations are normal physiological phenomena, not pathological changes. What is to be discussed here is pathological clitoral pain.
Clitoral pain caused by infection is the most common, such as genital herpes when it spreads near the clitoris; Vulvovaginitis is also a common cause of clitoral pain, such as gonococcal vaginitis, fungal vaginitis, trichomonal vaginitis, etc. when the whole vulva is involved, it often causes clitoral pain. Others, such as vestibular large gland abscess and condyloma acuminatum, can reflexively or jointly cause clitoral pain during sexual intercourse or stroking.
Various local stimuli are another important cause of clitoral pain. For example, diabetes can often cause vulva itching, which is unbearable and often accompanied by mold, trichomonas and other secondary infections to aggravate the pain. Other systemic diseases such as jaundice, leukemia, anemia, etc. can also be accompanied by vulva itching. It is not difficult to find the primary disease through careful consultation and examination. Tinea cruris, scabies, pubic lice and parasitic eggs are also common causes of vulva itching.
Women who often wear nylon chemical fiber underwear or jeans bodybuilding pants often wrap tightly around their hips and crotches, resulting in poor ventilation and excessive stimulation of physical and chemical factors of the vulva, resulting in vulva itching. Excessive washing or excessive use of cosmetics such as perfume are also undesirable stimuli, which can eventually cause clitoral pain.
Neuritis can sometimes affect the clitoris, most commonly neuritis caused by diabetes. The use of low-dose phenothiazide may alleviate the symptoms to a certain extent.
If women are not used to cleaning the vulva, especially the clitoris and its foreskin, clitoral dirt or small stones can accumulate in the foreskin, which will cause abnormal pain during sexual intercourse like sand. When accompanied by clitoral dirt and clitoritis, the clitoris will become congested and swollen and protrude, directly affecting the progress of sexual life. At this time, patients should keep the vulva clean regularly to prevent the formation of dirt. If the adhesion of clitoris foreskin is formed due to infection, it will cause long-term pain.
II. Clitoris redundant prepuce
Some women’s clitoris foreskin is so long that the clitoris head is completely covered, and the foreskin is still full of wrinkles; Some women’s foreskin is very short, and there are few wrinkles on it. When the foreskin is too long, women can not get sufficient sexual stimulation in sexual activities, which is easy to cause low libido or orgasm disorder or both.
In foreign countries, clitoral circumcision has been carried out to solve the problem of female clitoral prepuce, exposing the clitoris that is usually hidden from the sun. This operation has attracted extensive attention from the medical community and all walks of life in foreign countries. It is believed that it can bring miraculous effects to women with long foreskin who do not have orgasms. The specific method is to separate the long foreskin that tightly wraps the clitoris head, or to pierce the foreskin with a blunt and short probe, so that there is no need for circumcision. However, its long-term clinical effect remains to be discussed, and it is only suitable for those with excessive prepuce, but not for women without orgasm who are not with excessive prepuce.
III. clitoris tumor
Vulvar cancer can occur in the clitoris and clitoris foreskin. Its etiology is unknown, but it is often accompanied by pioneer diseases such as leukoplakia, condyloma acuminatum, vulva itching, chronic inflammation, etc. Cancer can also metastasize from other primary sites. Small hard lump can be seen in the early stage, which can break or scratch by itself. After the formation of ulcer, there is often bleeding and infection, accompanied by pain, but its incidence rate is not high.
Clitoral hypertrophy is mostly related to excessive androgen content. Generally, it does not need to be treated. It can be alleviated after drug withdrawal or treatment of the primary disease. It usually does not cause pain or discomfort, but its appearance is slightly affected.