Clitoral Pain/Clitoral Adhesions

Clitorodynia is abnormal pain of the clitoris, often caused by a build-up of Keratin Pearls between the hood of the clitoris and the clitoris itself. Skin disease can also cause pain of the clitoris. We can diagnose and treat your clitoral pain so you can get back to your life and enjoying sex again!

Clitoral adhesions, also known as clitoral hood fusion, is a condition where the clitoral hood is attached to the clitoris, making it more difficult or impossible for the clitoris to be stimulated. This situation can also cause discomfort and pain during sexual activity, as well as difficulty achieving orgasm. Clitoral adhesion treatment involves separating the clitoral hood from the clitoris, which can have both benefits and risks. The number of women with clitoral adhesions who have no sexual issues is unknown. This fact raises questions as to whether clitoral adhesions are a pathologic condition or might be a variant of normal. More information is needed about the process that leads to clitoral adhesion formation. A huge gap in our understanding of this condition is how often women with clitoral adhesions have no resulting sexual issues and therefore do not need treatment.

Benefits of Clitoral Adhesion Treatment:

  1. Improved Sexual Function: The primary goal of clitoral adhesion treatment is improved sexual function. Separating the clitoral hood from the clitoris can increase sensitivity and improve sexual pleasure, leading to more frequent and satisfying orgasms.
  2. Reduced Pain: Clitoral adhesion can cause pain and discomfort during sexual activity. Treatment can alleviate these symptoms and make sexual activity more enjoyable.
  3. Improved Self-Image: Women who have clitoral adhesion may feel self-conscious or embarrassed about their condition. Treatment may improve self-image and boost confidence.
  4. Enhanced Relationships: Improved sexual function and greater self-confidence can lead to more satisfying intimate relationships.

Risks of Clitoral Adhesion Treatment:

  1. Infection: Any surgical procedure carries a risk of infection. Patients should take care to keep the area clean and follow post-operative instructions very carefully.
  2. Bleeding: Clitoral adhesion treatment can cause bleeding, which may require medical attention.
  3. Pain and Discomfort: The procedure can cause pain and discomfort, both during the surgery and during the recovery period.
  4. Scarring: Scarring is a potential risk of any surgical procedure. While scarring from clitoral adhesion treatment is usually minimal, some patients may experience more noticeable scarring which can make additional treatment more difficult if not impossible.
  5. Nerve Damage: There is a risk of nerve damage during the procedure, which can cause loss of sensation or other complications. So while the usual goal is to increase sensation and pleasure, nerve damage can occasionally cause the opposite effects.
  6. Unsatisfactory Results: While most patients experience significant improvement in sexual function and reduction in pain, some may not achieve these desired results.

Before deciding to undergo clitoral adhesion treatment, patients should consult with a qualified healthcare professional to discuss the potential benefits and risks for them. Factors such as age, overall health, and the severity of the condition should be taken into consideration.

Alternative Treatments:

While clitoral adhesion treatment is effective for many women, there are alternative treatments that may be appropriate for some patients. These include:

  1. Topical Creams: Topical creams can be used to soften and loosen the clitoral hood, making it easier to separate from the clitoris.
  2. Hormone Therapy: Hormone therapy can be used to increase estrogen and/or androgen levels, which can help to improve vaginal lubrication and reduce discomfort during sexual activity.
  3. Dilators: Dilators with or without self-stimulation can be used to stretch the vaginal opening and clitoral hood, allowing for easier separation from the clitoris.
  4. Counseling: For some patients, counseling can help to address underlying psychological factors that may be contributing to sexual dysfunction.


Clitoral adhesion treatment can provide significant benefits for some women suffering from this condition. Improved sexual function, reduced pain, and enhanced sexual self-image are among the potential benefits. However, as with any surgical procedure, there are also risks to consider. Patients should consult with a qualified healthcare professional like those at IntimMedicine Specialists to determine the most appropriate treatment for their individual needs. Alternative treatments may be appropriate for some patients, and counseling can also be helpful in addressing underlying psychological factors.

Other Conditions Treated

If you would like to schedule an appointment with one of our practitioners about premenopausal symptoms or managing menopause, please call us at 202-293-1000.