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Female Sexual Dysfunction
Clitoral Phimosis
Clitoral phimosis occurs when the clitoral hood becomes adherent to the glans clitoris, preventing retraction and leading to reduced clitoral sensation, discomfort, and impaired sexual response.
85%
Success Rate
4-8 weeks with medical therapy; immediate with surgical release
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Clitoral Phimosis?
Clitoral phimosis occurs when the clitoral hood becomes adherent to the glans clitoris, preventing retraction and leading to reduced clitoral sensation, discomfort, and impaired sexual response.
Prevalence: Common in postmenopausal women and lichen sclerosus patients
Symptoms and Signs
- •Inability to retract clitoral hood
- •Reduced clitoral sensation
- •Pain or discomfort with clitoral stimulation
- •Difficulty achieving orgasm
- •Smegma accumulation under hood
Causes and Risk Factors
Common Causes
- →Chronic inflammation (lichen sclerosus)
- →Recurrent infections
- →Trauma or scarring
- →Hormonal changes
- →Poor hygiene
Risk Factors
- ⚠️Lichen sclerosus
- ⚠️Vulvitis history
- ⚠️Postmenopausal status
Treatment Options
Expected Outcomes: 80-90% improvement in sensation and function with treatment
Available Treatments:
- ✓Topical estrogen cream
- ✓Topical corticosteroid cream
- ✓Gentle manual retraction exercises
- ✓Clitoral hood lysis under anesthesia
- ✓Surgical release (preputioplasty)
Prevention Tips
- →Gentle clitoral hygiene
- →Treat underlying conditions
- →Regular self-examination
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