Clitoral Hardness and Swelling: When to Seek Medical Help

The clitoris feels firm or hard?

Hello, I have noticed that my clitoris has suddenly become hard and slightly swollen over the past few days.
It also hurts when I press on it.
A few days ago, I experienced pain while urinating, but it stopped hurting later on.
However, the clitoris remains swollen and hard, feeling like a solid mass, and pressing on it is painful.
I would like to ask what might be happening and whether I need to visit a clinic, or if I can just observe it for a few more days.
Thank you.

Ms. Chen, 20~29 year old female. Ask Date: 2020/09/27

Dr. Wu Xianghui reply Obstetrics and Gynecology

Vaginal infections can cause abnormal discharge, itching, fever, and lower abdominal pain, which are among the most common symptoms in women.
The causes are varied, and treatment methods should be accompanied by comprehensive health education.
It is recommended to consult a specialist in obstetrics and gynecology for evaluation in an outpatient setting.

Reply Date: 2020/09/27

More Info

When experiencing sudden changes in the clitoris, such as hardness, swelling, and pain, it is essential to take these symptoms seriously. The clitoris is a sensitive and complex organ, and any significant changes can indicate an underlying issue that may require medical attention.

The symptoms you describe—hardness, swelling, and pain upon pressure—could be attributed to several potential causes. One possibility is a condition known as clitoral edema, which can occur due to various factors, including irritation, infection, or trauma. Infections, such as vulvovaginitis or sexually transmitted infections (STIs), can lead to inflammation and swelling of the clitoral area. Additionally, conditions like Bartholin's gland cysts can also cause localized swelling and discomfort.

Another potential cause could be a dermatological issue, such as lichen sclerosus or lichen planus, which can affect the genital area and lead to changes in texture and sensitivity. Hormonal changes, particularly those related to menstrual cycles or menopause, can also influence the condition of the clitoris and surrounding tissues.

Given that you have experienced pain during urination, it is crucial to consider the possibility of a urinary tract infection (UTI) or other urinary issues, which can sometimes present with referred pain to the genital area. While the pain subsided during later urination, the initial discomfort could indicate an infection that may need treatment.

In terms of seeking medical help, it is advisable to consult a healthcare provider rather than waiting for several days to see if the symptoms resolve on their own. A healthcare professional can conduct a thorough examination, possibly including a pelvic exam, to assess the clitoral area and surrounding tissues. They may also perform tests, such as swabs or urine analysis, to rule out infections or other conditions.

It is essential to prioritize your health and well-being. If you notice any additional symptoms, such as fever, increased pain, unusual discharge, or if the swelling and hardness persist or worsen, you should seek medical attention promptly. Early intervention can lead to better outcomes and help address any underlying issues effectively.

In summary, while some conditions may resolve on their own, the combination of hardness, swelling, and pain in the clitoris warrants a medical evaluation. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas. Consulting with a healthcare provider will provide you with the necessary guidance and treatment options tailored to your specific situation.

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