Priapism of the clitoris is rare but does occur in a number of settings. It may present in a number of ways and can be distressing to the patient.
(1) prolonged erection of the clitoris not associated with sexual arousal
(2) burning, discomfort, pain and/or tenderness in the clitoris, vulva and adjacent structures
(3) discoloration of the clitoris (erythema, cyanosis, other)
(1) pelvic malignancy (urinary bladder, cervix, uterus, ovary)
(2) drugs (bupropion, citalopram, nefazodone, fluoxetine, trazadone or other antidepressants; any drug with alpha-1 adrenergic blocking ability)
(3) congenital clitoromegaly
(1) If drug-related, discontinuation of drug.
(2) If tumor-related, treatment of tumor.
(3) Injection of a small amount of dilute epinephrine into the dilute epinephrine (1:100,000) and heparin (500 U/mL) into the shaft and crura.
(4) Therapy with an alpha-adrenergic agonist (phenylephrine, phenylpropanolamine).
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Specialty: Obstetrics & Gynecology