A clitoris is similar to a penis anatomically but is obviously much smaller when normal. The glans (head) of the clitoris is roughly the size and shape of a small pea but can greatly vary in size. It is estimated to have about 8,000 sensory nerve endings, making it the most sensitive erogenous zone for females. It has an average length of ~1–1.5 cm (0.5 in) and about 0.5 cm in diameter with individual size and appearance varying dramatically.
Clitoral enlargement or clitoromegaly can occur at birth or later on in life.Known causes are: Congenital idiopathic enlargement, congenital adrenal hyperplasia or adrenogenital syndrome, intersex, hermaphroditism, conditions that cause hormonal abnormalities, anabolic steroid use, and bio-identical hormones. The enlarged head and the engorged, erect shaft may appear like a small penis, leading to insecurity and avoidance of any sexual activity or intimacy.
The clitoral reduction is a very specialized procedure and is performed by only a very few surgeons. It is a very intricate operation that requires exact knowledge of the anatomy to prevent complications. The surgery reduces the size of the head (glans) of the clitoris and removes the erection tissue from inside the clitoral shaft. Reduction of the head (glans) decreases the enlarged, embarrassing size, while preserving the most sensitive areas. Removal of the erection tissue prevents the clitoris from enlarging and protruding when aroused. Therefore, no disruption occurs to the patient’s sensitivity and sensation.
The clitoral hood is reduced at the same time with care to normally cover the glans.
This outpatient surgery takes about 3-4 hours, and patients can return home the same day. It is commonly combined with a labia minora and/or majora reduction.
Dr. Alter has performed over 60 clitoral reductions, with a high success rate. Despite warnings from other unknowing physicians, the patient continues to have normal sensation and orgasms when the surgery is meticulously performed. A couple patients have noted that it might be a little more difficult to achieve an orgasm, but all do, and none of his patients regret having the reduction.
Dr. Alter and the entire team are dedicated to providing every patient with exceptional individualized care—from consultation to recovery. We take the time to learn about your concerns, goals, and desires, so we can build a plan that addresses your concerns and gets you the
results you deserve.
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