Pain in the clitoris (clitoridynia): what is it due to? what to do ?

2023-11-06 19:15:00

Clitoris pain, what are we talking about?

The clitoris can be seat of chronic pain, altering the woman’s overall and sexual quality of life. These pains can be dull, persistent or throbbing, and are often known as pain. clitoridynie.

What exactly is clitoridynia?

Clitodynia – from Greek clit (clitoris) and –pumpkins (pain) – is characterized by chronic pain (intense burning, sensations of cuts, stings and raw skin). “Pain which must last more than three months and which is not always visible during the clinical examination”, specifies Diane Deswarte, sexologist and founder of Club Kamami.

In some cases, clitoridynia can be considered localized vulvodynia (having pain in the vulva, repeatedly and for a long time).

Causes associated with clitoridynia

The causes of clitoridynia are relatively poorly understood due to the lack of scientific studies carried out on the subject. According to the International Society for Sexual Medicine, this condition is however associated with vestibulodynia, lichen sclerosus or multiple sclerosis (source 1).

Who to consult?

“Clitodynia must be examined by a care team: on the gynecological side (gynecologist or midwife), dermatological (dermatologist) but also on the sexual side (sexologist) to support sexuality despite the pain and work on the psycho-sex side », Indicates sexologist, Diane Deswarte.

Please note: some midwives are also sexologists.

What are the general causes of clitoral pain (mycosis, genital herpes, excessive masturbation, etc.)?

Clitoral pain can occur spontaneously, for no apparent reason, or be due to different gynecological pathologies, or to external factors such as:

  • the port of underwear too tight ;
  • of the microfissures caused by a scratch;
  • full shave when the razor slipped near the clitoris;
  • a prolonged sitting ;
  • a vaginal dryness : this occurs most often during menopause. The pain in the clitoris then comes from a lack of lubrication during sexual intercourse;
  • a shock to the intimate area;
  • a too frequent intimate hygiene with irritating products or the use of allergenic products for washing underwear;
  • of the frequent sexual intercourse and excessive friction can cause inflammation of the clitoris;
  • of the intimate piercings placed on the labia minora can cause friction with the clitoris and cause inflammatory pain. Piercing the clitoris can lead to infections, nerve damage, allergic reactions, etc.
  • a improper use of sex toys or too intense masturbation;
  • and trauma : During childbirth or surgery in the vaginal area, the nerves may have been injured.

Clitoris pain can also occur when following gynecological or dermatological diseases, as :

  • intimate mycoses: a fungal vaginal infection (due to a fungus such as candida albicans) can also develop in the clitoris region;
  • genital herpes : it most often affects the genital area but can also develop in the clitoris;
  • dermatological diseases such as lichen sclero-atrophic. This condition can extend to the clitoris and cause pain and itching;
  • pudendal neuralgia : it is a neurological disease which creates great pain in the vulva, vagina, anus and clitoris.

What are the general symptoms of clitoral pain (itching, burning, inflammation, etc.)?

Clitoris pain: when to worry and urgently consult a health professional?

“Ideally, we never worry, but we consult as soon as we feel that there is discomfort or pain even if it is recent. »

Pain is something abnormal, you shouldn’t live with it. Diane Deswarte, sexologist.

For more information, specialized sites such as Les Clés de Venus, Vulvae, etc. may be useful to consult.

How to relieve severe pain in the clitoris (irritation, burning, etc.)?

Several treatments will be indicated depending on the origin of the pain.

  • In the case of clitoris pain due to yeast infectionthe treatment will consist of applying an antifungal cream.
  • In the case of‘genital herpesthe treatment will be antiviral (acyclovir).
  • To locally relieve clitoral pain, painkillers may be prescribed in the form of anesthetic gels, anti-inflammatory and moisturizing creams.
  • Clitodynia can have significant repercussions on daily and sexual life. Psychological follow-up can then prove useful if this pain is recurrent.
  • If the cause of clitoridynia is due to too frequent intimate hygiene with irritating products, it will be necessary to opt for neutral pH cleansing gels and without toxic substances.

Clitoris pain: natural remedies

There are several natural solutions to prevent and relieve certain clitoral pain. However, these must be used with caution and only after consulting a doctor. For example :

  • Apply essential oils with antifungal properties (lavender or tea tree). However, be careful not to add more than a drop and to mix it with a little coconut oil.
  • Favor one balanced diet : certain foods can in fact unbalance the vaginal flora and encourage the appearance of mycoses (pastries, sodas, bread, alcohol, cold meats, etc.)
  • Use probiotics: these rebalance the vaginal flora and can therefore prevent yeast infections.
  • When clitoral pain comes from external factors, it should be avoided by wearing, for example, looser clothing at the crotch, non-irritating organic cotton underwear washed with non-allergenic products, etc.

Take into account the psychological dimension

Cognitive Behavioral Therapies (CBT) are techniques used to treat certain chronic pains, including certain clitoral pain. They can be useful for developing adaptation mechanisms or even targeting false beliefs favoring the appearance of localized discomfort. Without forgetting, follow-up with a sexologist doctor, for a more global follow-up.

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