What does it mean if the clitoris is enlarged?

Generally, an enlarged clitoris may be caused by genetic factors, hormonal fluctuations, local clitoral inflammation, polycystic ovary syndrome (PCOS), or abnormal clitoral hyperplasia. It is recommended to seek medical attention promptly to determine the underlying cause and receive appropriate treatment under a physician's guidance. Detailed explanations are as follows:

1. Genetic factors: The size of the clitoris is genetically determined. If women in the family have similar characteristics, an enlarged clitoris may be inherited, and usually does not cause significant discomfort. No special treatment is required; maintain good vulvar hygiene by washing with warm water, avoid excessive friction, and choose loose, breathable cotton underwear to maintain local health.

2. Hormonal fluctuations: During special stages such as puberty or pregnancy, changes in estrogen and androgen levels may cause temporary clitoral enlargement, which often resolves once hormone levels stabilize. Maintain a regular sleep schedule, avoid staying up late, and no special intervention is needed. Follow-up examination should be conducted after hormone levels stabilize to observe any changes in clitoral size.

3. Local clitoral inflammation: Poor vulvar hygiene or bacterial infection may lead to clitoral inflammation, causing swelling and congestion of the clitoris due to inflammatory irritation. Symptoms may include redness, swelling, pain, or itching in the affected area. Apply prescribed topical medications such as metronidazole gel, erythromycin ointment, or clindamycin gel as directed by a physician.

4. Polycystic ovary syndrome (PCOS): Excessive androgen production leads to endocrine disorders. In addition to clitoral enlargement, symptoms may include menstrual irregularities and hirsutism (excessive hair growth). Hormonal regulation can be achieved with medications such as ethinylestradiol cyproterone acetate tablets, drospirenone ethinylestradiol tablets, or desogestrel ethinylestradiol tablets, as prescribed by a physician.

5. Abnormal clitoral hyperplasia: Long-term friction or recurrent inflammation may cause abnormal tissue growth in the clitoris, leading to persistent enlargement that may affect appearance or interfere with daily activities. A physician may recommend clitoroplasty, a surgical procedure to remove excess tissue and restore normal clitoral shape and function after proper evaluation.

In daily life, avoid wearing tight synthetic underwear to reduce friction and irritation to the vulva and clitoris. Keep the vulva clean and dry, and avoid using irritating cleansers. Maintain a regular sleep schedule and balanced diet to support endocrine stability and reduce the likelihood of clitoral abnormalities.