Category Archives: Clitoroplasty – Clitoromegaly Reduction

(FAQ) Natal female has clitoromegaly and enlarged labia The Reed Centre for Transgender Surgery | Miami

Dr. Reed, May need a labiaplasty and clitoral reduction.  My labia and clitoris seem a lot larger than most women.  Causes chaffing and bulging  somewhat through my panties. Suggestions? Carla

Dear Carla,

Large floppy labia on natal women and clitoral enlargement  patients are seen at the Reed Centre.  Before and after photos of labiaplasty and clitoral reduction are posted on our web-site  

Clitoromegaly is an abnormal enlargement of the clitoris that is mostly congenital or acquired, though deliberately induced clitoris enlargement as a form of female genital body modification is achieved through various uses of anabolic steroids, including testosterone, and may also be referred to as clitoromegaly.

This condition may be related to medication your Mom was taking during your during pregnancy such as norethisterone. Could be a result of mixed (mosaic) genetic pattern , could be related to adrenal or ovarian problems. Mosaicism, is the presence of two or more populations of cells with different genotypes in one individual, who has developed from a single fertilized egg.

Female bodybuilders and athletes who use androgens, primarily to enhance muscular growth, strength and appearance (see Use of performance-enhancing drugs in sport), may also experience clearly evident enlargement of the clitoris and increases in libido. Women who use testosterone for therapeutic reasons (treating low libido, averting osteoporosis, as part of an anti-depressant regimen, etc.) experience some enlargement of the clitoris, although the dosages warranted for these conditions are much lower.

Pseudoclitoromegaly or pseudohypertrophy of the clitoris “has been reported in small girls due to masturbation: manipulations of the skin of prepuce leads to repeated mechanical trauma, which expands the prepuce and labia minora, thus imitating true clitoral enlargement”.

To properly evaluate you, you should first seek evaluation with an endocrinologist who specializes in ambiguous genitalia or could be called a pediatric endocrinologist.

Assuming that there is no co-existing problem that takes treatment priority over labiaplasty or clitoral reduction, we can then initiate a consultation.


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami

4/1 - Pre-op (note scrotalization of labia majora).

Before picture of labial enlargement, clitoromegaly with scrotalization of labia

Labial enlargement, clitoromegaly with scrotalization of labia

4/4 - Post Op (scrotal labia trimmed, labia minora refined, clitoris reduced).

After picture of labiaplasty and clitoroplasty

Clitoral reduction for clitoromegaly | Dr. Harold Reed | Miami

Dr. Reed,  Believe my clitoris is a lot larger (works OK) than it needs to be and occasionally am asked if I am on steroids, but no. Have seen before and after photos on your web-site and would gladly fly in from the west to have you evaluate me and do the procedure.  Maryanne Dear Maryanne,…Continue Reading

Labiaplasty for excessive floppy labia and clitoral hood

Dr. Reed,  I am a natal female with large labia and redundant clitoral hood. I don’t think this is very feminine. Would you look at some recent photos and advise.   Darlinda Dear Darlinda, Thank you for your interest in labiaplasty.  We have many before and after photos of labiaplasty and clitoral hood reduction on our web-site…Continue Reading

Labial and clitoral reduction for female athlete

Dr. Reed, While I know you have a large transgender practice, my background is in sports where I competed in eastern Europe and did take some performance enhancing dugs.  Last competition  about  years ago and am tied of being asked “what’s that” during intimacy. As you can see from my photos the clitoris is quite…Continue Reading

Seeking Vaginoplasty Revision

Dear Dr. Reed, I am a male to female transgender woman  who undergone SRS in 2013 in Thailand.  I am attaching photos for you to review. I would appreciate if you could please tell me the possibilities to solve the problems I point out. The revisions requested is in order of priority. 1. I am…Continue Reading

Labiaplasty reduction

Dear Dr. Reed,  I am seeking a labiaplasty for floppy labia very much in excess of what I consider normal.  I am 27 years old and have pain occasionally with sex and some chronic inflammation and minor bleeding.  Have visited your web-site Susan Dear Susan, Labial and clitoral hypertrophy can be seen in female…Continue Reading

Clitoromegaly reduction | Dr. Reed | Miami

Clitoromegaly is an abnormal enlargement of the clitoris unassociated with sexual arousal. Can be associated with congenital adrenal hyperplasia, polycystic ovarian syndrome and anabolic steroids. Women who use testosterone for therapeutic reasons such as low libido, averting osteoporosis, or as part of an anti-depressant regimen may experience some enlargement of the clitoris. We favor approaching…Continue Reading

Helen seeks vaginoplasty with long sensate clitoris

Dr. Reed, I am very sexual and would like a vaginoplasty but with a long clitoris, not a penis.  Can you do that?  I know even for many natal women the clitoris is the focal point of their arousal and sexual gratification. Helen Dear Helen, Uusally our patients tend to go the other way, but…Continue Reading

Clitoral reduction for clitoromegaly

Dr. Reed,  My clitoris seems to be somewhat larger than normal.  I can send you some photos, and if you agree, can this be easily reduced without loss of sensitivity. Pamela Dear Pamela, I have received your photos and concur.  Our approach is to reduce the clitoris from the underside avoiding the nerves.  (so called…Continue Reading