Clitoris adhesions exams and medical classification

I found this study about clitoris retractability "Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris" Sexual Medicine, Volume 6, Issue 2, June 2018, Pages 115–122, https://doi.org/10.1016/j.esxm.2018.01.003

It classified a clitoris where the glans corona cannot be exposed during retraction as a:

Mild phimosis: when the glans can be exposed more than 75%

Moderate phimosis: between 25 and 75%

Severe phimosis: lesser than 75%

As play doc I encoutered a lot of female patients with a clitoris wich can be easily exposed through the corona. Some has mild and others severe.

I treated some mild with gentle use of a blunt sound passed inside the clitoral hood a sort of sinechiotomy of the clitoris with good results.

As a self-assessment how is your clit?

Does your gyno or play doct examinated your clit in this way?

Do you think you need any treatment done?

I believe I did have a mild case of adhesion on my clitoris. I got my knickers pulled down at a medical and she pulled my lips back to look at my hood. I felt her touching my (what I then called) pink triangle thing and I think she did mention adhesion but I didn't know what it meant and clearly she didn't feel it needed treatment.

My first penetration a few years later at 21 when my gf pushed 2 fingers up my vagina, it wasn't just my vagina that hurt, I felt my clitoris get pulled out from under the hood as the fingers went up. It's never been mentioned at the clinic again and I haven't felt it again since the first fingering.

She's thorough when checking my hood so I think it's noted on my medical form.

No other women I've asked felt their clitoris get pulled during their first penetration.

I believe mine is fine. Though reading this I am a bit shook my gynecologist never even looked at nor touched my clit. And its not like "in your face" out there it is covered by the hood. I am getting a strong feeling I should switch providers hihi

Hi, this is something we, my partner and I haven't thought about but it does make sense. Neither of us has felt a problem there but it's wise to check. Somebody here suggested going round the clit shaft with a dull sound to check for ahhesions and that makes sense. We will definitely do this and also mention it to our gyn NP for her comment. Thank you for the 'heads up' Zity.

Probably more fun to check with a tongue rather than a sound @Annie3434 . Just saying. 😃

Mine works just fine. She does what she is supposed to do, My doctor pulls the hood back really fast when doing my external.

Having been through supporting female person in the family with Lichen Sclerosis I guess aware of the issues with adhesions and keratin pearl formation. I know it was an issue and ended up being treated by dermatology and gynecologist who both would check on prepuce retraction.

In daily gynecological practice, examination of the clitoris is not part of the systematic process.

Everything depends on the results of the preliminary interview with the patient and any comments she may have on her sex life.

At rest the clitoris is physiologically covered by its hood, during excitation or stimulation the hood retracts thus revealing the clitoris, exactly as on the man's penis, when he uncovers his glans.

But in some women the cap can be tight and difficult to retract, causing phimosis. This particularity is very annoying because the clitoris is difficult to stimulate and this can have an influence on the woman's pleasure.

It is generally a spontaneous anatomical abnormality.

It is sometimes also a hood aesthetically disproportionate with the rest of the vulva, following a poorly conducted reduction nymphoplasty.

More rarely, finally, we are confronted with a lesion of lichen or scleroderma of the vulva which is responsible for the retraction

In this case, particular attention will be paid to examining the clitoris.

Recovering the clitoris is achieved by performing a debridement plasty or reducing the hood to a minimum because it is absolutely necessary to leave enough hood on the clitoris so that it can remain covered outside of sexual activities.

The clinical, gynecological and sexological examination allows us to assess the clitoris and its hood, the size and flexibility of which must be assessed and its ability to retract tested.

The surgery is adapted to each case to obtain the best results. However, we can retain basic principles common to all clitoral hood plasty. Depending on the case, it will be necessary either simply to reshape the cap to widen it and uncover the glans or to combine it with a minimum resection.

The gradual resumption of sexual intercourse is possible after 2 weeks.