Clitoral Pain


Clitoral pain, also called clitorodynia, is characterized by burning, stinging, itching, rawness, irritation, or discomfort in the clitoris. This chronic pain condition can range from mild to severe and may be constant or intermittent. A painful clitoris can severely interfere with sexual arousal and make it difficult to enjoy sexual activity or experience sexual stimulation. If you’re experiencing severe pain in the clitoris or clitoral hood, a Tideline healthcare provider can help.


You may experience symptoms of clitoral pain such as achiness, itchiness, irritation, sensitivity, or stabbing pain. It may occur in the clitoris or clitoral hood, as well as radiate to nearby areas like the vaginal entrance or labia. It is often confused with urinary tract infections, yeast infections or vaginal dryness.


Pain and discomfort in the vulva (or the external genitalia) are common causes of clitoral pain, as is skin irritation, rash, or recurring infection in the pelvic region. This discomfort may also be related to a chronic underlying disease that affects other areas of the body.

The causes of clitoral pain include:

  • Buried clitoris
  • Skin conditions such as lichen sclerosis
  • Irritation from personal hygiene products
  • An underlying medical condition such as persistent genital arousal disorder
  • Past sexual trauma or sexual abuse


During a private appointment, your provider can diagnose clitoral pain with a thorough physical examination and history taking.  discussing your symptoms, risk factors, and medical history. Treatment for clitoral pain will depend on the underlying cause of the discomfort. Clinical management may include one or a combination of the following:

Topical Cream

Topical creams such as hyaluronic acid with or without vitamin E, vitamin A and aloe can be effective.  Steroid creams such at cortisone and betamethasone can also reduce symptoms.  When itching is present, clobetasol cream is often helpful.  When vaginal atrophy is present, estrogen cream can be very effective in alleviating symptoms.

Platelet Rich Plasma (PRP)

When topical creams fail, PRP can be a very effective treatment for clitoral pain. When applied to the clitoris topically or directly into the skin, PRP has been shown to reduce scarring and improve the health of the clitoral tissue alleviating itching, inflammation, and pain.

ThermiVa® with PRP

The combination of radiofrequency with PRP has also been shown to have excellent results with clitoral pain.  The clitoris is carefully examined to see if it is buried under the clitoral hood.  The clitoris is  gently released from the hood and the ThermiVa® probe is used to apply radiofrequency to the tissue before or after PRP is administered.  This enhances the blood and nerve supply a swell as stimulating collagen.  For optimal results, this treatment is performed in three monthly sessions and then repeated every three, six or 12 months depending on symptoms.

Frequently Asked Questions

What should I do if it is difficult to orgasm?

If you have difficulty achieving orgasm, there are likely underlying causes that can be addressed with the help of an intimate health provider. These causes might include clitoral phimosis, which can prevent stimulation during sex and even cause pain.

Why cant I orgasm?

There are many different reasons why women experience difficulty orgasming. They might include feelings of shame or anxiety, or anatomical reasons prevent stimulation. Medications or health conditions might also interfere with your ability to orgasm.

Why does my clitoris burn?

The clitoris can become irritated from certain clothes, products, or behaviors. If you’re experiencing a consistent burning sensation, it’s best to consult an intimate health provider.

Why is my clitoris itchy?

Irritation of the clitoris can sometimes manifest as itchiness due to the many nerve endings present. Itchiness may also come from irritation by certain soaps, fabrics, or scents. In some cases, it may be a sign of an infection.

Should I see a doctor for clitoris issues?

Disruptive and consistent issues with your clitoris such as pain, itchiness, burning, and more, are not normal and should be addressed. An intimate health provider is the best possible medical professional for these types of issues.



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