[60F] Experiencing severe clitoral tenderness post sexual activity

Patient Description

A 60-year-old female reports experiencing severe tenderness in the clitoral area, rating the pain as 8/9 on the pain scale, which began 4-5 days following sexual activity with her first sexual partner in over 13 years. The patient describes the pain as significantly exacerbated by touch, such as when wiping after urination, and notes discomfort while walking. There is a mention of possible swelling and an excessive amount of fluid discharge from the clitoral area, though the patient is unable to confirm redness due to visibility issues. No recent injuries were reported, and the pain is isolated to the clitoral area without accompanying fever, severe abdominal pain, sores, or lesions. This is the first occurrence of such symptoms for the patient.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following:

  • Vaginal Infections: These can cause tenderness, discomfort, and increased vaginal discharge. Common infections include bacterial vaginosis and yeast infections.

    • Treatment typically involves antibiotics or antifungal medication.
  • Sexual Trauma: This can occur due to vigorous or rough sexual activity, causing pain and discomfort in the genital area.

    • Treatment usually involves rest and avoiding sexual activity until the pain subsides.
  • Vulvodynia: This is a chronic pain condition that affects the vulva, the external part of a female's genitals. It's often characterized by burning, stinging, irritation or rawness.

    • Treatment can include medications, biofeedback therapy, physical therapy, or nerve blocks.
  • Clitoral Priapism: This is a rare condition where the clitoris becomes engorged and painful for an extended period of time. It's often due to a disruption in blood flow.

    • Treatment usually involves addressing the underlying cause and may include medication or surgery.

What you can do

You should seek medical attention as soon as possible to get a proper diagnosis and treatment. In the meantime, try to avoid any activities that may exacerbate the pain, such as sexual intercourse or wearing tight clothing. Applying a cold compress to the area may also help to alleviate some of the discomfort.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain that doesn't improve or worsens over time
  • Fever, chills, or other signs of infection
  • Abnormal vaginal discharge (e.g., foul-smelling, green or grey in color)
  • Pain during urination or sexual intercourse

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

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People Also Ask


What are common causes of clitoral pain after sexual activity?

Common causes of clitoral pain after sexual activity include vaginal infections, sexual trauma, vulvodynia, and clitoral priapism. Each condition has different underlying causes and may require specific treatments.


How can I differentiate between a vaginal infection and other causes of genital pain?

Vaginal infections often present with symptoms like unusual discharge, odor, and itching, whereas other causes like sexual trauma or vulvodynia may not have these symptoms. A healthcare provider can perform tests to accurately diagnose the cause.


What are the treatment options for vulvodynia?

Treatment options for vulvodynia include medications such as topical anesthetics or antidepressants, biofeedback therapy, physical therapy, and in some cases, nerve blocks. It's important to work with a healthcare provider to determine the best treatment plan.


When should I seek medical attention for genital pain?

You should seek medical attention if the pain is severe, doesn't improve, or worsens over time, or if you experience fever, chills, abnormal discharge, or pain during urination or intercourse. These could be signs of a more serious condition that requires prompt medical evaluation.


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