Clitoris

Estrogen

Sexual behavior

Surgery

Vaginal atrophy

Hormonal therapy

Atrophy

Gynecology

Estrogen therapy

Clinical psychology

Breast cancer

Cancer

Hormone therapy

Medicine

Internal medicine

Sexual arousal

The Journal of Sexual Medicine

Introduction Clitoral atrophy is often a neglected cause of female arousal complaints and warrants treatment with localized treatments. Aim This is a case series of patients with clitoral atrophy in which localized estrogens were used to treat separate, distinct sexual complaints. Methods We report on three patients who were treated with localized estrogen tablets and cream for symptomatic clitoral atrophy despite a lack of data for use of these agents for the treatment of this diagnosis. The patients described here expressed understanding of the risks of vaginal hormonal therapy prior to treatment and at follow-up visits while on therapy. Main Outcome Measures Patient reports, physical examination, and vaginal pH. Results All patients reported improvement or resolution of symptoms after the treatment with localized estrogen tablets and/or cream. Conclusions Low-dose minimally absorbed local estrogen products can be used in combination with excellent tolerance and low side-effect profile to treat female sexua...

CASE REPORTS: Clitoral Atrophy: A Case Series