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.
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.
The clitoris is typically about 6 mm long in a newborn girl. A clitoris longer than 9 mm is considered unusual in the medical literature Oberfeld et al, Clitoral size in full term infants. Pediatr
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.
Girls are born with two sets of labia. During puberty, hair grows on the labia majora. Labia minora are usually pink and they do not grow hair.
The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment. Republish our articles for free, online or in print, under Creative Commons licence. Did you know the clitoris is a large and complex organ?
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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.