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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. These changes have been made in an effort to preserve clitoral sensation and preserve orgasmic potential. It is the goal of this manuscript to describe the different procedures that have been developed for the surgical management of clitoromegally, with emphasis on the risks and benefits of each.
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Treatment of the Enlarged Clitoris

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Clue is on a mission to help you understand your body, periods, ovulation, and so much more. Start tracking today. For women and people with vaginas , orgasms most commonly come from the clitoris, located above the vaginal opening and urethra 1,2,3. Erogenous zones are areas of the body that elicit a sexual response when stimulated. The clitoris is one of the most sensitive erogenous zones due to its high concentration of nerve endings 4,5. By stimulating an erogenous zone, a sexual physiological response can be set into motion.
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Unlike the penis , the male homologue equivalent to the clitoris, it usually does not contain the distal portion or opening of the urethra and is therefore not used for urination. The clitoris also usually lacks a reproductive function. While few animals urinate through the clitoris or use it reproductively, the spotted hyena , which has an especially large clitoris, urinates, mates, and gives birth via the organ. Some other mammals, such as lemurs and spider monkeys , also have a large clitoris. The clitoris is the human female's most sensitive erogenous zone and generally the primary anatomical source of human female sexual pleasure.
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Deidre Mattiske does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment. But actually all female mammals have a clitoris, the highly sensitive organ that is linked with pleasure and orgasm in women. And research is now starting to slowly unpack how the clitoris might be involved in sexual encounters in mammals. For example, a research paper presented at a biology conference this week showed that the clitoris in dolphins is very large, and more complex than we previously thought.
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