Talk:Clitoromegaly

Out

Out of curiosity: Are there any symptoms, apart from the cosmetic thing? Aragorn2 18:44, 6 April 2006 (UTC)

i'm by no means an expert on this kind of thing, but it's my understanding that Clitoromegaly is generally a symptom of something else (hormonal imbalance, drug use, etc), rather than the other way around. the ex-wrestler Chyna has/ had this condition, which was attributed to her steroid use. Joeyramoney 00:53, 8 May 2006 (UTC)

i fail to see what is "grave" about clitoromegaly. ditto with "malformation" -- especially since clitoral formation obviously differs from case to case.--ponyboy 21:11, 31 December 2006 (UTC)

Picture

The clitoris in the current photograph does not seem abnormally large... I've seen much larger! —Preceding unsigned comment added by 71.219.226.22 (talk) 20:40, 11 October 2008 (UTC)

I think this article requires a photographic or drawn image (non-pornographic). SynthesiseD 19:10, 14 October 2006 (UTC)

Metric to Engish conversions are incorrect and should be corrected.

10 mm = 1 cm 2.54 cm = (approximately) 1 inch.

So 35 mm does not equal .05 inch. <== consider that they are square length so conversion factor is (25.4^2)

I see no vagina in that picture, it looks like there's just a shallow furrow under the 'clitoris' meaning this is a male with a hormonal disorder.

no mention of sexual response

there is no mention of any ramifications for the sexual response associated with an enlargened clitoris in the article. some mention of this would be nice. as a (sexually experienced) lay person I would imagine that an enlargened (or even a normal clitoris but on the larger side) would bring increased sexual sensitivity and therefore sexual pleasure (although perhaps annoyance if it rubs continually on clothing etc) as the clitoris is sensitive erectile tissue (like the male penis glans) and one of the female erogenous zones... some expert like to comment and add this to the article please!... 122.148.173.37 (talk) 07:12, 4 July 2008 (UTC)

forplu link?

This was recently reverted as a link to a pornographic site. I'm not sure it really qualifies as that (see http://www.forplu.com/common/aboutus.htm. I'm not sure it qualifies as a good reference though. I don't object to their depiction of vulvas --- I don't think that is pornographic. But it is also NSFW. But then again, why would you be looking at Clitoromegaly at work? --70.2.199.190 (talk) 04:54, 1 January 2009 (UTC)

I see nothing on that myspace-like "about" page that qualifies those blokes as medical experts. The text removed was right in the lede "There are known to be a few more extreme cases." That site isn't even acceptable as an external link in a medical article. Xasodfuih (talk) 19:02, 3 January 2009 (UTC)

Question

"...the typical clitoris is defined as having a crosswise width of 3 to 4 mm. (0.12 - 0.16 inches) and a lengthwise width of 4 to 5 mm (0.16 - 0.20 inches). On the other hand, in Obstetrics and Gynecology medical literature, a frequent definition of clitoromegaly is when there is a CI of greater than 35 mm2 (0.05 inches2)..."

When it says "clitoris", is it referring to the cltoral glans that protrudes from the hood, or the entire glans, covered by the hood and all? 75.197.98.139 (talk) 05:53, 24 September 2011 (UTC)

The term "clitoromegaly" can refer to any abnormal enlargement of the clitoris

Editor Behemoth came to my talk page asking why I was reverting him (for example, here, here and here) at this article and at the Clitoris enlargement article. Behemoth was adding that clitoromegaly should not be confused with "the body modification procedure of clitoris enlargement" and that clitoris enlargement should "not to be confused with the medical condition known as clitoromegaly or macroclitoris." While it is true that clitoromegaly usually refers to a congenital or acquired disorder, the term may refer to any abnormal enlargement of the clitoris; this is what I told Behemoth in my edit summaries and on my talk page. This source that is currently in the article, for example, states, "The causes of clitoromegaly can be classified into four groups; hormonal conditions, non-hormonal conditions, pseudoclitoromegaly and idiopathic clitoromegaly." So the source talks about "true clitoromegaly" and "pseudoclitoromegaly," which shows that clitoromegaly does not only refer to a congenital or acquired disorder, unless, for example, you consider clitoris enlargement that has been caused by masturbation to be acquired clitoromegaly; the source refers to clitoris enlargement that has been caused by masturbation as pseudoclitoromegaly; it states that "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."

The source, by using the term clitoral enlargement, also shows that clitoral enlargement does not only refer to body modification. The lead of the Clitoris enlargement article should have never started off attributing the term clitoris enlargement to only body modification, if people, such as Behemoth, are going to take that to be the only definition and completely disregard, downplay or misrepresent the other definitions.

Behemoth did readd mention about deliberately induced clitoris enlargement being referred to as clitoromegaly, but that is not WP:LEAD material because it's not covered lower in the article, and the lead neglects that unintentional clitoris enlargement (such as the aforementioned masturbation cause, or women who use testosterone for therapeutic reasons, which are mentioned lower in the article) may also be referred to as clitoromegaly or more accurately as pseudoclitoromegaly. Therefore, I propose that the "deliberately induced clitoris enlargement" material be moved from the lead and moved back to the lower body of the article, or that at least a minor mention about the aforementioned unintentional clitoris enlargement be added to the lead. This discussion is also obviously about the Clitoris enlargement article (I'm keeping the discussion in one place), and so I propose that the inaccurate material in that article about clitoris enlargement not meaning clitoromegaly be removed; it's contradictory to what the lead of this article currently states anyway.

On a side note: As will be obvious to most members of WP:MED, who I will ask to weigh in on this topic, better WP:MEDRS sources, meaning systematic reviews and up-to-date information, are needed for these articles. Flyer22 (talk) 00:17, 25 May 2013 (UTC)

I agree. Although there seems to be some terminological overlap, which leads to certain ambiguity, clitoris enlargement forms a separate article and topic (i.e. body modification procedures vs. medical diagnostics) and loyalty to such distinction may be assured by removing lines relevant to the body modification procedure itself. Behemoth (talk) 08:03, 25 May 2013 (UTC)

This is a difficult question because apparently the condition is sufficiently rare that I'm mostly finding case reports on it and can't find really good recent review articles on the subject. This has a section on it but it doesn't really provide definitions. What secondary sources are available? Zad68 17:00, 26 May 2013 (UTC)

Yes, I know what you mean, Zad, which is why I was tempted to strike out my comment above about these articles needing systematic review sources and up-to-date information; because of the progress of research in this area, this is where the "These instructions are appropriate for actively researched areas with many primary sources and several reviews and may need to be relaxed in areas where little progress is being made or few reviews are being published." part of the Wikipedia:MEDRS#Use up-to-date evidence guideline comes into play. I'll see what secondary sources I can find, such as what, if anything, I can find in some good anatomy books about it. Other than that, since Behemoth has agreed with me, it seems that it's okay if I implement my proposals. The Clitoris enlargement article definitely needs to get away from the impression that the term clitoris enlargement only refers to body modification. Flyer22 (talk) 17:35, 26 May 2013 (UTC)

What about moving clitoris enlargement to clitoris enhancement, which seems to be the more peculiar term for the procedure itself. [1] Behemoth (talk) 12:20, 27 May 2013 (UTC)

I was going to state, "Good idea. I'm fine with that. Since the Clitoromegaly article is about clitoris enlargement, with the exception of mentioning too much about body modification per WP:DUE WEIGHT, and we don't need two articles that are about the topic of clitoris enlargement." But despite what I was going to state, it still stands that clitoromegaly usually refers to a congenital or acquired disorder, but especially to a congenital disorder. I quickly thought about the fact that clitoris enhancement is a POV-wording title, since a lot of people wouldn't consider enlarging the clitoris to be an enhancement. Not to mention...the word enhancement is vague in the case of titling an article that; to use enhancement would be unnecessarily vague because the article is specifically about enlargement of the clitoris. And Googling clitoris enhancement in the normal Google search bar shows the "term" mostly being used to refer to the Clitoris Enhancement System product (looks like the one shown in the link you provided) or a similar product, not "clitoris enhancement" in general. And advertisement in that link for the Clitoris Enhancement System even uses the term clitoral enlargement, stating, "Women use clitoral enlargement to enhance their sexual pleasure." Furthermore, Googling the topic under the "term" clitoris enhancement on Google Books and on Google Scholar does not seem to reveal any (common) use of the wording either (though I did notice the "A Letter to the Editor on the Article by Burri et al." source on page 2 of the clitoris enhancement Google scholar search use the wording "clitoris enhancement surgery"). By contrast, the sources do use the term clitoris enlargement (or clitoral enlargement) and they use it to refer to a congenital or acquired disorder, sometimes specifically pediatric endocriniology, or body modification. So it seems best to expand the Clitoris enlargement article in the way that I suggested. It should be the umbrella term article for all clitoris enlargement. Or the article could be titled Enlarging the clitoris or Body modification of the clitoris, which would obviously be an umbrella article for covering all body modifications that enlarge the clitoris or are reported to enlarge the clitoris.

Speaking of secondary sources, Zad, this medical source, currently the first listing in the Google Books clitoris enhancement search, talks about clitoromegaly, and here are a lot of secondary medical and/or anatomy book sources talking about clitoromegaly. Flyer22 (talk) 18:34, 27 May 2013 (UTC)

Support your direction here, Flyer, those are useful sources. The Human Malformations and Related Anomalies you identified is great, relatively recent (2005) and Oxford University Press, and right on target. I'm not very familiar with the sourcing but going in I'd probably think about doing separate articles, one on the medical condition, and one on the body modification, because their causes/motivations, physiological mechanisms and desired future outcomes for each would be totally different. Zad68 03:56, 29 May 2013 (UTC)

Agreed, Zad. Out of the two titles I proposed for renaming the Clitoris enlargement article, I prefer "Body modification of the clitoris." Now I'll wait to see what Behemoth states about my latest proposal. Flyer22 (talk) 04:36, 29 May 2013 (UTC)

Okay, having seen sometime ago that Behemoth moved on to other matters on Wikipedia, like we did, I went ahead and moved the Clitoris enlargement article to Body modification of the clitoris. But then I thought better of that move, seeing that the title is too broad and the article should incorporate clitoris piercing and clitoral hood piercing under that title, or, considering the small, unsourced state of those articles, have them merged into the Body modification of the clitoris article, and I didn't feel like tackling that. So I renamed the article to Clitoral enlargement methods, similar to other medical articles, such as Suicide methods, and tweaked the lead accordingly.[2][3] I tweaked this article (Clitoromegaly) after that.[4][5][6][7] I would have used the spelling variation clitoris in place of clitoral for the Clitoral enlargement methods title, but it seems that sources use the wording clitoral enlargement more than they use clitoris enlargement. Flyer22 (talk) 21:28, 17 June 2013 (UTC)

Picture does not do it justice

Why not use this one? Rui ''Gabriel'' Correia (talk) 14:48, 28 January 2014 (UTC)

Correct link in ICD-10

It seems to me that the ICD citation should be N90.8, “Hypertrophy of clitoris” not Q52.6, “Congenital malformation of clitoris”, i.e. enlargement not malformation. The text refers to size and the both congenital and acquired nature of clitoromegaly. Can anyone state why the link should not be changed? Trankuility (talk) 06:16, 25 March 2016 (UTC)

Done. Trankuility (talk) 03:40, 27 August 2016 (UTC)

Concern

How do I raise a concern about a reference link being an auto redirect link? — Preceding unsigned comment added by 78.149.197.111 (talk) 21:49, May 14, 2020 (UTC)

Statistics

Are there no stats to give an idea how rare / common Clitoromegaly is? Rustygecko (talk) 20:40, 22 April 2022 (UTC)

I think this is an important stat to include, but honestly some quick searches don't turn up any raw numbers. RadioactiveBoulevardier (talk) 01:39, 25 January 2023 (UTC)

Anatomy, measurements

The "Anatomy" section points out a difference in measurement between two sources, and the wiki editor clearly implies that the two sources are in conflict with each other. However, the two sources are explicitly not measuring the same thing; the first source is giving an average size, while the second source is giving a recommendation for diagnosing an abnormality. It's no surprise and no conflict, that a diagnosable abnormality is very far larger than the high end of the "average" range. "Larger than average but not a problem" is a perfectly reasonable category.

My intention is to say that these measurements differ for a good reason, there is no conflict between them, and no obvious mistake or misinformation. If there are sources that are more reliable and give better or more complete information, by all means put them in. TooManyFingers (talk) 15:34, 26 June 2023 (UTC)