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Question:
since 7 years (long before my hormones were getting out of balance) I suddenly got a pain at (in) my clitoris. It feels like neuralic pain. The specialists and sexuologist were not able to help me. They, and me either, have never heard of this specific item. So I live with this, I feel very lonesome because I think I may be the only women at least in Europe with such a problem. And of course you can imagine what has happened with my sex-live and the pleasure I had before.. I so hope you have a advice for me! Thank you in advance.

Answer:
by Annette Owens:
(05/31/2004)
You are not alone. Similar cases with severe clitoral pain have been reported, and I have heard about cases in Europe as well in the USA. Not long ago I followed an on-line discussion of health professionals involving a very similar case in Germany. Due to privacy reasons, I cannot reveal any further details, but you or your physician are welcome to send me an e-mail to info@cvillewellness.com and I will then forward it to the physicians involved in that similar case. The following information would be important: Besides having had visual exams of your clitoris, have you had either ultrasound or magnetic resonance testing done? Have diseases of the intervertebral discs (discus prolaps) been ruled out? How would you describe the pain (e.g. burning, stinging, mild, severe, periodic, constant, etc.)? Does any type of touch or pressure elicit the pain in your clitoris? When exactly did it start? Do you remember how it started? There have been some reports that applying pressure to the anterior (front) wall of the vagina with a finger can sometimes attenuate such pain. For more on this topic see the book Sex, Gender and Pain, (R. B. Fillingim, Ed.). (2000). Progress in Pain Research and Management, Vol 17. Int'l Assoc. Study of Pain. Specifically, see the chapter by Komisaruk, B.R. and Whipple, B.: "How does vaginal stimulation produce pleasure, pain and analgesia?" pp. 109-134. You mentioned in your additional information that you have tried acupuncture. Did this help? The cases I have read about sometimes benefited from pain medication such as imipramin, novalgin, and valoron, or from steroid nerve blocks of the clitoris. I can give your physician more specific information on this, but I do want to emphasize that such treatment only should occur under close supervision by a physician. So please do not hesitate to contact me directly at the above listed e-mail address. Sincerely, Annette Owens, MD PhD

Reviewed by Sexual Health Editorial Team

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