March 9, 2018

Q & A: What Happens When My Clit And Vulva Fuse Together?

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vulva cupcake

What happened to my sweet spot?

Q. If my clitoris and vulva are starting to fuse together and are appearing as one, what should be done? Is this okay or will it have to be pulled apart by a doctor?

A. I think it’s pretty great that you’ve been looking at your own genitals and have a sense of what is normal or not normal for your own body. Not all women have seen their vulva even once or know the names of their genital body parts.

The clitoris is bigger than it looks from the outside. Although about ¼ to ½ an inch of the glans clitoris can often be seen externally, there are two branches of the clitoris that go backward into the body. The glans clitoris – the part that can be seen from the outside – sometimes seems to fuse to the clitoral hood. The glans may even appear to be trapped inside the clitoris.

Age Or Disease?

Changes to the structure of the vulva, whether to the clitoris or the vaginal lips, can occur as part of menopause, when estrogen levels decrease, or as a result of a genital skin condition such as lichen sclerosus. This is sometimes referred to as LS. Individuals with LS often have white patches of skin on their genitals, which may also itch.

If you have questions about your vulva looks or feels, I would encourage you to check in with a gynecologist or a dermatologist who has expertise in genital skin health and disease. You can find such a specialist through the International Society for the Study of Vulvovaginal Disease’s web site.
In some cases, certain prescription topical creams may be used to reverse vulvar changes, including fusing. Treatments may be more effective if a medical condition is caught early or treated.

If vulvar atrophy or fusing has been allowed to persist without treatment, it can be more difficult to restore through the use of creams. That is why I would encourage you to check in with a specialist sooner rather than later. You can learn more about your vulvar health in The V Book.

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