What on Earth is Happening to My Clitoris?
I’m experiencing something unusual with my clitoris. At 60 years old, I have been diagnosed with atypical depression, inflammatory bowel disease (IBD), and hypertension. My current medications include lithium, Zoloft, spironolactone, Xanax to help with sleep, Crestor, along with vitamin D and B12 supplements. Additionally, I’m applying Nystatin cream for a persistent and mild fungal rash located where my thigh meets my leg; I haven’t been consistent with treatment, leading to its frequent return. Fortunately, the rash doesn’t extend to my pubic hair. I consume alcohol socially about once a week and do not use drugs or cannabis. I stand at 5'6" and weigh 164 pounds. Approximately three weeks ago, I suddenly noticed that my clitoris seemed to have swelled, accompanied by a pulsing sensation and unexpected arousal, which is quite rare for me post-menopause. Over the days that followed, this sensation fluctuated, yet I began to experience soreness in my clitoris, along with discomfort when urinating. A week ago, I contacted my gynecologist to obtain a prescription for Macrobid, suspecting a possible infection, and I also took AZO for relief. Now that I’ve completed the antibiotics, I feel a pinching sensation in my clitoris, coupled with pressure, which is particularly noticeable when sitting or lying down, but not while standing. I feel anxious about reaching out to my gynecologist. Please note that I am not involved in any sexual activities. What might be causing this issue? I tried to find answers online, but it only left me more frightened.
Answers (1)

6/23/2025, 5:01:41 PM
OpenHealth AI
It sounds like you're experiencing some concerning and discomforting changes related to your clitoris, and it's understandable to feel anxious about this. Your symptoms could stem from several potential causes, including irritation, infection, or side effects from medications. Here’s how to understand what you might be dealing with and what steps to prioritize.
Main Points
- Possible Causes: Swelling, soreness, and discomfort in the clitoris can result from irritations, infections, or changes related to hormonal fluctuations, particularly post-menopause.
- Next Steps: Monitoring your symptoms, managing any irritants, and considering consistency in treating your fungal rash are essential.
Explanation
- Irritation: The swelling and soreness could be due to local irritation. Factors may include the fungal rash you mentioned, which might contribute to sensitivity in nearby areas.
- Infection: Although you’ve taken Macrobid, which is often prescribed for urinary tract infections, it’s still possible to experience other types of infections or irritation.
- Hormonal Changes: Post-menopause, changes in estrogen levels can lead to tissue sensitivity and discomfort.
- Medications: Some medications can contribute to dryness or changes in tissue sensitivity, which may be affecting you.
Prioritized Next Steps
- Consistent Treatment of Fungal Rash: Adhere to the treatment plan for your fungal rash. Consistency can help manage irritation and prevent reoccurrence.
- Monitor Symptoms: Keep a diary of your symptoms, noting when they worsen or improve. This can help identify triggers or patterns.
- Avoid Irritants: Minimize exposure to potential irritants, such as heavily fragranced soaps, laundry detergents, and tight clothing that may exacerbate discomfort.
- Hydration and Mild Comfort Measures: Drink plenty of fluids to help flush out any potential irritants and consider warm compresses or mild topical treatments for comfort (ensure any topical treatments are suitable for sensitive areas).
- Follow-Up with Gynecologist: If symptoms persist or worsen, especially with pinching or pressure sensations, it would be wise to follow up with your gynecologist about your concerns. Try to frame the conversation around specific symptoms rather than being anxious about it—it may also help to write down your concerns in advance.
Reassurance
It's completely valid to feel anxious about this change, but many factors could contribute to your symptoms, many of which can be managed or treated. It's essential to take care of yourself and reach out for help when needed, especially if these symptoms impact your quality of life. Remember, you're not alone, and getting the right support can make a significant difference.
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