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.