Illustration by Lori Malépart-Traversy
Women have the only organ in the human body exclusively dedicated to pleasure: the clitoris! This humorous, brief documentary gives an illustrated and educational history of the clitoris; it also reveals something very telling: the clitoris has long been ignored and hidden—by society, medical professionals, and educators. For many women, their early sexual partners provided them with their only sex education, with little knowledge or accuracy and much fumbling. Clitoral pleasure was discovered almost by accident. (More on that in The Clitoral Truth…)
Think about it. Have you ever been taught how to look at your clitoris? Has a doctor ever asked you about your clitoris or examined it? Medical professionals are not routinely taught the anatomy of the clitoris (Even some of the most famous textbooks don’t mention it!), and it is not considered part of the routine female pelvic exam. This poses a big problem: If doctors don’t know what a normal clitoris looks like, even how to properly examine it, how will they know what to do when questions or problems come up? What kind of doctor do you see if you have a problem with your clitoris? (Pssst: Unfortunately, there is no such thing as a clitorologist!)
Pain in the clitoris (called “clitorodynia”) is considered a localized form of vulvodynia (vulvar pain) and is thought to occur in 5% of women who complain of painful intercourse. Given the lack of comprehensive research, it could be more.
Pain can be due to adhesions or scarring of the clitoris where the clitoral hood (aka the prepuce) gets stuck to the glans of the clitoris. This can lead to trapping and buildup of oils and dead skin cells which cause underlying irritation and infection.
Women describe the pain as burning, stinging, or sharp—some have likened it to the sensation of having a grain of sand in your eye. It can affect the whole pelvis and just feel like “pain down there,” or it can be very focal with pain at a small, targeted location.
Clitorodynia can make sexual experiences difficult, if not impossible. As well as potentially leading to sexual dysfunction, it can also make everyday life excruciating because the “pain down there” can be present all the time, even without sexual activity.
While there might not be a clitorologist, doctors trained in sexual medicine can diagnose and treat clitoral problems, we promise! With a specialized physical exam and several diagnostic tests, the underlying cause for your pain can be found. Luckily, successful medical and surgical treatment options are available. For example, clitoral adhesions can be removed in a minimally invasive, in-office, procedure using local anesthetics. In a high percentage of women with painful clitoral adhesions, such a procedure is curative.
Sexual health is an important part of your general health. You deserve a pleasurable, pain-free sexual experience and life. If you have discomfort or pain, we are here to provide solutions. If any of the symptoms we mentioned sound familiar, our providers are trained to help. Let’s work together to improve your sexual health.