You may not have heard this term before. Clitoroplasty is a surgical procedure that involves the clitoris, a part of the female genitalia. The clitoris is a small area of tissue located at the top of a woman’s external genitalia, containing more than 8,000 nerve endings and serving as the main center of sexual pleasure. This is a very sensitive topic, so let’s talk about it openly, simply, and in a way that you can understand.
Simply put, what is clitoroplasty surgery?
The main goal of this surgery is to change the appearance of the vagina, reduce its size, change its position, or create one for someone who is not born with it. But while doing all this, the biggest challenge is to preserve its main function, which is to provide sexual satisfaction . Therefore, we must also remember that there is a risk of decreased sensitivity or some impact on the blood supply with this surgery.
This surgery can do the following things:
- Reducing the size of the vagina.
- Changing the position of the goddess.
- Creating a new goddess.
- Changing the overall appearance of the goddess.
Why would someone have this kind of surgery?
There are several reasons why someone might undergo clitoroplasty surgery. Let's look at some of the main reasons.
| Reason | A simple explanation |
|---|---|
| Congenital conditions | Some children may be born without a vagina, but with other female genitalia. Or the vagina may be abnormally large. |
| Appearance-related reasons | Not being satisfied with the appearance of one's vagina, especially wanting to reduce its size. |
| Sexual identity | As one step in the process of adjusting the external genitalia to match one's psychological feelings and sexual identity. |
| Repairing the damage caused | To repair the damage caused by tragic events such as female genital mutilation (FGM) that occurs in some cultures. |
What conditions are treated with this surgery?
This surgery can be performed on children, young adults, and adults, especially as a treatment for certain congenital conditions.
Clitoromegaly
This is the medical term for enlarged breasts. A larger than normal size of the breasts can be present at birth or develop later in life. This condition is often caused by exposure to male hormones (androgens) in a woman's body. This surgery helps to achieve a normal size and shape of the breasts.
Congenital Adrenal Hyperplasia (CAH)
This is a condition of the endocrine system. As a result, a girl's clitoris can become so large that it looks like a male penis. Clitoroplasty surgery reshapes this area of tissue to the shape of a normal clitoris.
Atypical Genitalia or Intersex
This is a condition in which a person's external genitalia cannot be clearly classified as male or female. These characteristics may be present at birth, but can sometimes develop later. This surgery can help them achieve the desired external sexual appearance.
The most important thing is that if a young child is undergoing this type of surgery, parents should definitely talk to the child's doctor and carefully consider the pros and cons of the surgery, as this is a decision that will affect the child's entire life.
How do you prepare for surgery?
The first step is to meet with your doctor or medical team and discuss your full health history, expectations for the surgery, and the risks. Any questions you may have can be answered at that time. The doctor may also order blood tests or scans.
Before the day of surgery, the doctor will give you instructions on when to stop eating and drinking, and when to come to the hospital.
What happens during the surgery?
The type of surgery varies depending on the reason for the surgery and its complexity. You may be given a local anesthetic, which numbs only the area being operated on, or you may be given general anesthesia, which puts you completely to sleep.
In a hymen reduction surgery, the surgeon removes excess tissue and reshapes the remaining area. The incisions are closed with stitches.
Most people can go home the same day as their surgery . This is called outpatient surgery. The surgery usually takes about an hour or two.
What to expect after surgery?
After the surgery, the medical team will monitor you until your blood pressure and heart rate return to normal. Then you will be allowed to go home. It is essential that you have someone to help you go home.
It is normal to experience some pain, swelling, and discomfort in the first few days. Your doctor will advise you to take a week or two off from work or school , reduce physical activity, and rest.
The swelling should go down significantly within six weeks, but it may take up to three months for it to completely go down. Your doctor will give you follow-up appointments to make sure you are healing properly.
These things can help make the healing process easier:
- Place an ice pack on top of your underwear for about 20 minutes, several times a day.
- Use antibiotics and painkillers exactly as prescribed by your doctor.
- Wear loose clothing to avoid pressure on the wound.
- Avoid having sex or inserting anything into the vagina for at least six weeks or until your doctor gives you permission.
What are the risks and challenges?
Clitoroplasty is a controversial procedure. Some doctors believe that if there is no pain due to a medical condition, it is not worth the risk of losing sensation for the sake of appearance. In addition to nerve damage, the chronic pain that occurs after surgery can be very difficult to live with.
Other risks are:
- Vaginal stenosis
- Difficulty controlling urine (Urinary incontinence)
- Urethra-vaginal fistula ( a hole between the urethra and the vagina )
- Excessive bleeding or bruising
When to call a doctor immediately
If you have had clitoroplasty and experience any of the following symptoms, notify your doctor immediately.
| Warning Signs | |
|---|---|
| Fever | A fever of 38 degrees Celsius (100.4°F) or higher. |
| Other features | Chills. |
| Pain | Severe pain that cannot be controlled, even with painkillers. |
| Discharge from the wound | Pus, bloody discharge, or a foul odor coming from the surgical site. |
Clitoroplasty can help you look, feel, and feel better physically. Whatever your reason for considering this procedure, there are trained surgeons and healthcare teams who can help you achieve your goals. But remember, this is a life-changing procedure, and there is no 100% guarantee of success. So it is important to be open and honest with your medical team about your expectations.
Take-Home Message
- Clitoroplasty is a complex surgery that has both benefits and risks, and can have a major impact on a person's life.
- Before making any decisions, be very honest and open with your doctor about your hopes and concerns.
- It takes time to recover after surgery. It is essential to follow the doctor's instructions exactly for a good result.
- If you develop symptoms after surgery, such as fever, uncontrollable pain, or unusual discharge from the wound, seek medical advice immediately.


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