Management of the enlarged clitoris, because of its import for sexual function, has been and remains one of the most controversial topics in pediatric urology. Early controversy surrounding clitoroplasty resulted from many factors including an incomplete understanding of clitoral anatomy and incorrect assumptions of the role of the clitoris in sexual function. With a better understanding of anatomy and function, procedures have evolved to preserve clitoral tissue, especially with respect to the neurovascular bundles.
Clitoromegaly or macroclitoris  is an abnormal enlargement of the clitoris that is mostly congenital or acquired, though deliberately induced clitoris enlargement as a form of female genital body modification is achieved through various uses of anabolic steroids, including testosteroneand may also be referred to as clitoromegaly. The different grade of genital ambiguity is commonly measured by the Prader classification which ranges, in ascending order of masculinisation, from 1 : female external genitalia with clitoromegaly through 5 : pseudo-phallus looking like normal male external genitalia. Clitoromegaly is a rare condition and can be either present by birth or acquired later in life.
Unexplained clitoromegaly is a rare but well recognised feature in girls born premature. Although detected at birth, girls may re-present during childhood to paediatric urologists and gynaecologists who should be aware of this condition. The aim of the study was to describe the clinical findings and management of a series of girls presenting with persistent congenital clitoromegaly associated with prematurity.
A study comparing physiological aspects of anorgasmic women and others who do not have problems reaching climax concludes that the size and the internal position of the clitoris could condition genital excitement and orgasm. Factors most commonly associated with women's anorgasmia are little masturbating experience, relationship problems, and psychological blocking that prevents women from letting themselves go with sexual excitement. Sometimes physical factors can intervene too, such as unbalanced hormonal levels, damage in pelvic nerves, or lack of blood flow and genital sensibility. The recent study " Clitoral size and location in relation to sexual function using pelvic MRI ," published in the Journal of Sexual Medicineestablishes that having a small clitoral glans or a larger distance between the internal part of the clitoris and the vaginal canal could also cause difficulties in reaching the physical excitation needed to get an orgasm.
For the longest time I thought my oversized clitoris was wrong, abnormal and gross. The only organ in my body whose sole purpose was sexual pleasure was the thing bringing me the most displeasure. When I was a preteen, part of me thought I might be intersex.
We tend to think that our clitorises are the same as everyone else's clitorisesand leave it at that. After all, how much variation can there really be in such a tiny nub — and who has time to worry about stuff like that? Chances are, most of the anatomy-based time you have marked off in your schedule is already occupied with showing a partner how to touch your clitorisor figuring out how to touch yourself in order to reach orgasm.
Sometimes clitoromegaly happens during fetal development because of a DSD, so that a girl is born with a large clitoris. Sometimes clitoromegaly occurs during puberty, or even later in life, because of an underlying hormonal shift that is atypical. Clitorises naturally vary in size, just like breasts and penises also do.
I am fifty and a lesbian. I have had a pretty active sex life for the last thirty years, including a couple of long-term relationships. For the last three years, I've been with a woman I love very much.
Since the dawn of time, men have been comparing penis sizes for sport and, cough, reminding themselves that size doesn't always matter. Women aren't immune to comparisons — one in seven, according to the American Congress of Obstetricians and Gynecologistshas actually considered getting the lips of her vagina surgically trimmed. Does the size of that matter?
Examinations revealed that Bijou has what appears to be an undeveloped prostate gland, as well as deteriorated testis and a penile bone — called a baculum it is present in male dogs' penises — inside her large clitoris. A genetic analysis revealed a mystery: Bijou is a genetically female dog, but she does not have the genetic abnormality that can cause some female mammals to develop testicles and other male features. Like female humans and other female dogs, Bijou has two X chromosomes, meaning genetically she is female.