-
Views
-
Cite
Cite
L. Aerts, R. Rubin, A. Winter, S. Goldstein, I. Goldstein, PS-02-002 The Prevalence of Clitoral Adhesions in Women Presenting to the Sexual Medicine Practice, The Journal of Sexual Medicine, Volume 14, Issue Supplement_4a, April 2017, Page e110, https://doi.org/10.1016/j.jsxm.2017.03.083
- Share Icon Share
Extract
Objective
Physical examination of the clitoris during gynaecological examination involves concomitant cephalad preputial retraction to evaluate the presence of the clitoral glans corona. Failure to see the corona implies that there are adhesions of adjacent prepucial skin to the glans covering the corona. The presence of clitoral adhesions is especially relevant in women with clitorodynia and sexual pain concerns. Beneath the clitoral adhesions, an underlying balanitis may exist that is perpetuated by a closed-compartment environment, often with several millimetre-sized keratin pearls observed lying underneath the adhesions. Clitoral adhesions may also be associated with decreased sensation, muted orgasms, or dorsal small fiber sensory neuropathy of the clitoris leading to persistent genital arousal disorder. Since physical examination of the glans clitoris is not routinely performed by health care providers during the clinical examination, there are limited data on the prevalence of clitoral adhesions. As magnified vulvoscopic clitoral examination with photographs is routine in our clinic, we examined the prevalence of clitoral adhesions in our sexual medicine patients.