Inflammation and Discomfort in the Clitoris Due to Testosterone Treatment
As a trans man who has been receiving testosterone injections for eight years, one notable change is that my clitoris has grown, resembling a small penis for some individuals. In my case, it has become prominent, partially influenced by weight loss. Recently, I’ve been experiencing some discomfort; it has turned inflamed, sore, and itchy. The sensitive area beneath the head is tender, and retracting the clitoral hood reveals inflammation surrounding the tip, reminiscent of balanitis. To alleviate the discomfort, I’ve been applying Vaseline. While I tend to be vigorous during masturbation, I’ve never incurred any injuries. However, my last session was particularly intense, and I believe that marked the beginning of these symptoms about four days ago. The seams of men’s boxers tend to rub against the area, which has been problematic in the past, but the irritation seems to be heightened now. Seeking medical advice could be challenging, as my primary healthcare providers are also my colleagues, but I would consider it if necessary. I understand I cannot share images here; however, I have uploaded some on my profile. Please note, it's my adult content page, but it might provide useful context regarding the previous state of my clitoris.
Answers (1)

9/9/2025, 9:50:44 PM
OpenHealth AI
It sounds like you’re dealing with inflammation and discomfort of the clitoris, which may be due to a combination of factors like hormonal changes, friction from vigorous activities, and potential irritation from clothing. Here's a structured breakdown of your situation and some practical steps you can take to alleviate your discomfort:
Main Points
- Possible Causes of Discomfort: Inflammation, friction, and irritation from clothing or vigorous masturbation could be contributing to your symptoms.
- Initial Care Steps: Managing irritation and keeping the area clean and nourished may help reduce inflammation and discomfort.
Explanation
The changes you're experiencing in your genital anatomy from testosterone treatment, along with your recent symptoms, suggest there may be some friction or irritation at play. The inflammation you're noticing, especially the soreness and itching, could indeed resemble conditions like balanitis, which is inflammation of the glans. This can happen without an actual infection and is often linked to hygiene, friction, or sensitivity.
Applying Vaseline may provide some temporary relief; however, it can also trap moisture and potentially worsen irritation if not managed properly.
Next Steps
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Maintain Hygiene: Gently cleanse the area daily with mild soap and water, ensuring you dry it completely afterward. Avoid harsh soaps or products with fragrances.
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Gentle Moisturization: Instead of Vaseline, consider using a water-based lubricant, which may be more suitable for your needs during masturbation or when wearing clothes. This can help reduce friction without clogging pores.
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Protective Clothing: Opt for loose-fitting underwear made of breathable fabrics, like cotton, to minimize friction and allow for airflow.
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Limit Intensity of Activities: Try to reduce the intensity or frequency of vigorous activities that may irritate the clitoris until symptoms improve.
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Monitor Symptoms: Keep track of your symptoms over the next few days. If you notice any worsening (like increased pain, discharge, or persistent discomfort), it would be wise to seek medical attention despite concerns about seeing colleagues.
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Potential Consult: If the discomfort continues or worsens after implementing these measures, consider consulting a healthcare professional for a more thorough evaluation. They may provide treatments or examinations that can target specific causes of your irritation.
Please be gentle with yourself and prioritize comfort as you navigate your symptoms. If there’s anything further you’d like to know or discuss, feel free to reach out!
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