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Female Sexual Dysfunction

Clitorodynia

Clitorodynia is chronic pain of the clitoris characterized by burning, throbbing, or hypersensitivity that can occur spontaneously or with stimulation, significantly impacting sexual function and quality of life.

60%
Success Rate
3-12 months with treatment; may be chronic
Duration
Multiple
Treatment Options
2+ Groups
May Affect

What is Clitorodynia?

Clitorodynia is chronic pain of the clitoris characterized by burning, throbbing, or hypersensitivity that can occur spontaneously or with stimulation, significantly impacting sexual function and quality of life.

Prevalence: Rare; exact prevalence unknown

Symptoms and Signs

  • Clitoral burning or throbbing pain
  • Hypersensitivity to touch
  • Pain with clitoral stimulation
  • Spontaneous pain episodes
  • Difficulty wearing tight clothing
  • Avoidance of sexual activity

Causes and Risk Factors

Common Causes

  • Nerve entrapment or irritation
  • Pelvic floor dysfunction
  • Hormonal factors
  • Trauma or repeated pressure
  • Lichen sclerosus or other skin conditions

Risk Factors

  • ⚠️Pelvic floor tension
  • ⚠️Cycling or repetitive pressure
  • ⚠️Lichen sclerosus
  • ⚠️Sexual trauma

Treatment Options

Expected Outcomes: 50-70% improvement with multimodal treatment; often requires patience

Available Treatments:

  • Pelvic floor physical therapy
  • Topical lidocaine or estrogen
  • Tricyclic antidepressants
  • Gabapentin or pregabalin
  • Nerve blocks
  • Cognitive behavioral therapy

Prevention Tips

  • Avoid excessive clitoral pressure
  • Pelvic floor relaxation
  • Proper bicycle seat fit

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