Clitoral adhesion
Classification according to ICD-10 | |
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N90.8 | Other specified non-inflammatory diseases of the vulva and perineum |
ICD-10 online (WHO version 2019) |
Clitoral adhesion , clitoral hood adhesion , clitorisphimosis , inflamed or covered clitoris are medical terms for the adhesion of the clitoris to the surrounding tissue.
Emergence
The clitoral hood secretes a lubricating fluid so that it can slide easily over the glans of the clitoris. A lack of or inadequate intimate hygiene (secondary form) or an excessively tight foreskin (primary form) can cause this pheromone-rich secretion to accumulate, which can ultimately lead to solidification ( smegma , a cheese-like mass). This in turn can lead to inflammation and pain . If the smegma does not flow off sufficiently, or the smegma is removed, sticking can occur, which prevents sliding. By regularly pulling back and cleaning the space between the female foreskin and the glans clitoridis, such (secondary) changes can be avoided (see therapy below).
Symptoms
It can erection and thus also to orgasmic disorders and sexual dysfunctions come. The affected woman feels pain during sexual intercourse .
Prevention
To prevent clitoral adhesion, the clitoris must be cleaned regularly, since clitoral adhesion often, if not hereditary , develops on the basis of chronic inflammation . If the clinical picture nevertheless occurs, d. H. If there is a subjective level of psychological distress and / or physiological restrictions, it must be checked whether the clitoral hood is too narrow to ensure adequate drainage, for example from the sebum glands . Then it has to be expanded with a small surgical procedure.
therapy
Intensive cleaning of the clitoris can in many cases break the adhesion. If this is not enough, a gynecologist must dissolve the adhesions under local anesthesia and remove the smegma.
literature
- Leen Aerts, Rachel S. Rubin, Michael Randazzo, Sue W. Goldstein, Irwin Goldstein: Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris. Sex Med 2018; 6: 115-122 [1]
Individual evidence
- ^ Benjamin Graber, Georgia Kline-Graber: Clitoral Foreskin Adhesions and Female Sexual Function. In: The Journal of Sex Research Vol. 15, No. 3 (Aug. 1979), pp. 205-206. doi : 10.1080 / 00224497909551041 .