The clitoral hood or prepuce is the skin tissue that covers and surrounds the clitoris, which is the highly sensitive and arousing erectile tissue of the female.  In some women, this skin tissue can be excessively enlarged, thus covering the clitoris excessively. If it covers the clitoris so much that sexual stimulations cannot be adequately achieved during lovemaking, this can be a problem for the woman. Often this is in conjunction with enlarged labia minora that the woman dislikes. 

When the enlargement of the clitoral hood negatively impacts sexual pleasure during lovemaking, reduction of the excess skin can be performed to allow adequate stimulation. This reduction is called clitoral hood reduction or clitoroplasty. This can be performed alone or in conjunction with other vaginal cosmetic surgeries, such as labiaplasty, for an improved cosmetic appearance.

Dr. Robert True had developed a unique technique for performing clitoral reductions that does not involve excess removal of the clitoral hood skin while allowing adequate exposure for stimulation when needed. He customizes each case according to the desires of the individual woman to improve the appearance, improve the exposure of the clitoris, and improve the sexual experience of the patient.

FAQs on Clitoral Hood Reduction

Why clitoral hood reduction?

The solitary function of the clitoris is to induce sexual pleasure. As the female equivalent to a man’s penis, the clitoris is covered by a hood (which is similar to a man’s foreskin). Occasionally this hood or tissue covering can be large, redundant (also called clitoral hypertrophy) and cause inability to achieve stimulation to the clitoris. The redundant tissue can also be uncomfortable while wearing a bathing suit or tight-fitting clothing.

However, reducing the clitoral hood excessively can also result in discomfort when wearing tight clothing, therefore a better technique is to reduce what’s necessary for stimulation while maintaining functional ability of the clitoral hood to cover the clitoris when stimulation is not needed. This attention to physiologic function is the basis for Dr. True’s unique technique.

How do I know if clitoral hood reduction is right for me?

Women who need a clitoral hood reduction generally complain of poor stimulation to induce excitability from their clitoris. The hood may cover the clitoris to the extent that adequate stimulation is difficult. Dr. True is uniquely qualified to help women evaluate and treat these intimate but important concerns. Because of his training as a board certified gynecologist, he can discuss their concerns and their problems so they can determine whether they desire this and other genital cosmetic procedures.

How is Clitoral Hood Reduction Performed?

The procedure to reduce the clitoral hood is a simple, outpatient procedure where the hood is surgically trimmed, the excess skin tissue is removed for improved stimulation, but adequate hood tissue is left to allow for protection of the clitoris when not stimulated. As the female equivalent to a man’s penis, the clitoris is covered by a hood (which is similar to a man’s foreskin). Dr. True’s technique of clitoral hood reduction is vastly different than a man’s foreskin excision, which is also called a circumcision.

What about anesthesia during the procedure?

Normally the procedure is performed using mild sedation and a local anesthetic. Patients thus are awake during the procedure and do not require a general anesthetic but are amazingly comfortable. Once numbed with the local anesthetic, the procedure is painless. After the procedure, women complain of mild to moderate pain from the incisions for a few days, but this is treated adequately with pain medicine and ice packs.

What other procedures are usually done with Clitoral Hood Reduction?

Clitoral hood excessive tissue is often seen in women who also have labial hypertrophy, or excess labia minora. Here their inner lips (the labia minora) are excessively long and hangs down below their vulva. In these circumstances, a clitoral hood reduction can be performed at the same time as the labiaplasty if desired.

Will my ability to have orgasm change during a Clitoral Hood Reduction?

The purpose of the clitoral hood reduction is to allow for adequate exposure of the clitoris for better stimulation during sexual experiences. This stimulation of course comes from the nerves that innervate these tissues. The nerves that supply the clitoris are not cut or harmed with either a clitoral hood reduction or a labiaplasty with Dr. True’s techniques. Therefore, there is no decrease in sensation or ability to have orgasm experienced from these procedures.

What should I expect from the procedure?

The procedure to reduce the clitoral hood is a simple, outpatient procedure that is performed with just a local anesthetic in a one-day stay type procedure. It can be performed with other procedures, such as labiaplasty, vulvoplasty, and vaginal rejuvenation. The procedures take around 1-2 hours each to be performed.

After the procedures, the appearance of the tissues is enhanced. But more importantly the ability to stimulate the clitoris is enhanced, making the sexual experience a more satisfying one for the woman. And of course, if it is more pleasurable for the woman, it is usually more pleasurable for the man too.

What other problems may cause poor clitoral stimulation?

There are many other reasons why women may have poor clitoral stimulation with sex to produce sexual excitement. Inflammatory conditions may occur, poor anatomy, infections, cysts, and most importantly lack of hormones are situations where clitoral stimulation doesn’t produce the desired effect.

To know if any of these are a problem, you should check with your physician for a thorough evaluation. Most of these problems can be treated by your physician. Particularly, if you have a hormonal imbalance, sexual clitoral stimulation may not happen. Treatment is hormone therapy, but please see a physician who is knowledgeable about this and who can balance your hormones to give you the right result. Dr. True has treated thousands of women with hormone therapy for years and can help you with this problem too.

Who performs clitoral hood reduction procedures?

We recommend you see a surgeon who is deeply knowledgeable about the procedure, has done many of them, and has the experience and training to perform this procedure. A regular OB-GYN physician who has not received additional training for this may not be your best option. Dr. Robert True performs clitoral hood reduction procedures for women who desire this procedure. His office is located in the center of the Dallas Fort Worth area of Texas. As a board-certified gynecologist and cosmetic surgeon, Dr. True has the experience and the expertise to perform these procedures. He customizes each case according to the desires of the individual woman to improve the appearance, improve the exposure of the clitoris, and protect the clitoris with his unique technique. Located in Colleyville, TX, his office is a short drive from DFW airport. If you would like to make an appointment, call his office at 817-399-8783

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It is with much sorrow we must share with you our wonderful physician, Dr. Robert True, passed away. Because his death was not anticipated, we are in the process of finding a physician to care for our patients and have a temporary physician and nurse practitioner in place. If you are in urgent need of your medical records, please contact us at 817-399-8783 so we may send you the legal medical records request form. We appreciate your patience as we work through this situation to try and maintain our practice.