Clitoris On Testosterone: Understanding It's Anatomy And Function


The human body is complex. It often undergoes big changes due to hormones. Testosterone is mainly a male hormone. But, it can also affect females, especially the clitoris.

This is especially true for transgender men and non-binary people. One of these changes is that the clitoris can get bigger. This change can affect both sexual feelings and comfort.

This article explores the causes, symptoms, and treatments for high testosterone. It also covers the effects of testosterone on the clitoris.

What is the clitoris? Anatomy, Effects & Conditions

Clitoris On Testosterone

The clitoris is a small, sensitive part of a woman’s body. It’s located at the top of the vulva, where the inner labia meet. The clitoris is similar to the penis in men, but it’s much smaller. It has many nerve endings, making it very sensitive to touch. When stimulated, the clitoris can provide sexual pleasure and can lead to orgasm in many women. It’s made up of both internal and external parts, but only the external part is visible. The clitoris is important for sexual health and enjoyment. It’s a key part of a woman’s sexual anatomy.

Anatomy of Clitoris

The clitoris is an intriguing and crucial part of female anatomy. It is often celebrated for its role in sexual pleasure. At first glance, you’ll see the clitoral glans. This is the small, round knob that’s visible at the top of the vulva. It’s very sensitive. It has thousands of nerve endings, more than any other body part. 

But there’s more to the clitoris than just the glans. Extending from the glans, hidden under the skin, are the clitoral ‘legs’ or crura. These legs stretch back and down along the pubic bone, about 3 to 4 inches long. They’re like tree roots, not visible from the outside but essential to the clitoris’s structure.

Then, there are the vestibular bulbs, which flank the vaginal opening. The bulbs fill with blood and swell when a woman is aroused. They add to the feeling and swelling of sexual arousal.

The entire clitoral structure is made of erectile tissue. This means it swells and becomes more sensitive when blood flow to the area increases, much like the penis in males.

It’s interesting to note that the clitoris is only for pleasure. It has no other reproductive purpose. This makes it unique among human body parts.

What is Testosterone and Its Functions?

Testosterone is a key hormone, more prominent in men but also important in women. It’s produced in men’s testes and smaller amounts in women’s ovaries and adrenal glands for both sexes.

During male puberty, testosterone is like the director of the body’s changes. It deepens the voice, grows facial and body hair, and boosts muscle mass. It is also a crucial component in the process of sperm production.

But it’s not all about physical changes. Testosterone affects mood and energy, acting like a natural energizer. It’s essential for women, too. It adds to muscle strength, bone health, and sexual desire.

Testosterone helps keep bones strong. It also helps keep muscles big. These are crucial for health and vitality at all ages. It’s a versatile hormone that influences physical development, mood, and overall well-being.

Causes Of Clitoris

Testosterone can make the clitoris bigger, a condition known as clitoromegaly. This happens because testosterone, a hormone, stimulates growth in tissues similar to those in the penis. In females, high testosterone levels can be due to medical treatments like hormone replacement therapy or from using certain steroids.

Each person reacts differently to increased testosterone, so the extent of growth can vary. It’s a direct effect of the hormone’s androgenic properties, which are typically associated with male sexual development.

Symptoms of Testosterone on Clitoris

Clitoromegaly, which is when the clitoris gets bigger, can happen because of testosterone therapy. Following are the signs:

Clitoris Gets Bigger: The most noticeable thing is that the clitoris grows larger. This is because testosterone works on the clitoris in a similar way as it does on the penis.

Sensitivity: The clitoris might feel more sensitive, which could either be good or a bit uncomfortable, depending on the person.

Sex Drive Changes: Many people find that they want sex more because of testosterone.

Effects of Testosterone on Clitoris

Testosterone, a hormone, can cause the clitoris to grow larger and become more sensitive.

Clitoromegaly is a condition with Increased testosterone, often due to gender transition or medical treatments. It can result in clitoral enlargement. While individual size varies, testosterone generally leads to growth.

Impact of Different Testosterone Levels

Low to Normal Levels: In cases of low or average testosterone, the clitoris size typically remains stable, within the individual’s normal range.

Moderate Increase: With a moderate rise in testosterone, possibly due to treatment, there’s often a noticeable growth in the clitoris.

High Levels: Significantly higher testosterone levels, usually from treatment, can greatly enlarge the clitoris. This may increase sensitivity or cause other noticeable changes in feeling or appearance.


Treatment for clitoromegaly varies depending on its cause, the patient’s age, and personal choices. Options include surgery and nonsurgical methods. Surgical methods, like clitoropexy or clitoroplasty, reduce clitoral protrusion but carry risks like infection, bleeding, and potential loss of sexual sensation.

Nonsurgical approaches for clitoromegaly involve medications or topical creams. Cortisone creams or estrogen-containing creams may help with swelling due to inflammation. Hormone therapy to lower androgen levels might be advised if hormonal imbalances or adrenal problems cause the condition. This is often the preferred initial treatment, particularly for children or individuals with conditions like polycystic ovary syndrome (PCOS).

Clitoromegaly can also occur as a side effect of testosterone replacement therapy (TRT). This therapy is popular among women for treating low libido, decreased sexual satisfaction, mood changes, tiredness, and muscle weakness. It’s important to manage the dosage of testosterone carefully to avoid side effects like clitoromegaly.

Final Note

Clitoral enlargement from testosterone usually isn’t harmful but can be uncomfortable or cause concern about appearance. For lasting enlargement that bothers someone, surgery like clitoropexy is an option.

The influence of testosterone on the clitoris is a significant aspect of hormonal interactions within the body. It’s vital for individuals experiencing these changes to understand the causes, symptoms, and available treatments. Whether these changes are part of a gender transition process or arise from medical conditions, appropriate guidance and treatment are essential.


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Dr. David G Kiely is a distinguished Medical Reviewer and former General Medicine Consultant with a wealth of experience in the field. Dr. Kiely's notable career as a General Medicine Consultant highlights his significant contributions to the medical field.

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