I am 17 and have never been sexually active. For the past 5 years I’ve been dealing with severe clitoral pain. It’s a sharp stinging pain whenever walk, wash it, or even touch it through jeans. Along with the pain I’ve have white spots like grains of sand that were very difficult to remove forming on my clit. This began before I got my period and started taking Tri-Linyah. Both of my parents are Internal medicine doctors and have their own practice. They’ve been very apathetic to my health problems, including this one. After 5 years of pain, I finally got my mother to take my primary care who told me I needed a labiaplasty then to the gynecologist who told me there was nothing wrong and to try steroid cream and baths. Cultures came up negative.
After research and reading clinical studies, I’ve come to a self diagnoses of a clitoral adhesions which is cause by smegma build-up between the glans and the clit causing them to adhere together.
I’ve tried taking baths, wiping away smegma or “keratin pearls”, and using mineral oil and q-tips to stretch the clitoral hood. I’ve been pretty susscessful in my treatment. The pain has decreased, I’ve had less build-up, the inflammation around the clit went away, and the open wound from the stretching healed. However, I’m still having some pain and smegma, very little but it’s there. Should I see a urologist to do a vulvoscopy, and a dorsal slit surgery of the clitoral hood under general anesthesia or dorsal nerve block with a local anesthetic to remove it?