(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

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