Guest guest Posted April 6, 2001 Report Share Posted April 6, 2001 A long time ago there were some women with problems that seemed to be really specific to the clitoral area so I wanted to share this article today about how some psychotropic drugs may cause clitoral swelling/ vulvar pain. Debby ****************** 1: Obstet Gynecol 2001 Apr;97(4 Suppl 1):S26-S27 Clitoral priapism: a rare condition presenting as a cause of vulvar pain. Medina CA University of Miami School of Medicine, Miami, FL, USA Background: Priapism of the clitoris is an exceedingly rare condition that often creates a very difficult situation for both the patient and physician. Although patients present with various symptoms, the most consistent initial symptoms have been clitoral swelling and pain. The majority of cases reported thus far stem from the use of certain psychotropic medications.Case report: A 47-year-old woman presented with vulvar and clitoral pain; she stated that the pain was mostly clitoral in origin. The symptoms initially started as clitoral burning of short duration (2-3 min) followed by swelling and pain. The events have been recurrent for the past 3-4 years, increasing in frequency and lasting for up to 6-8 hours at a time. The symptoms first appeared shortly after the patient received trazodone hydrochloride. She is not sexually active, and none of the episodes has been incited by stimulation or associated with orgasm. She is currently using sumatriptan succinate and lorazepam for migraine headaches and anxiety disorder, respectively. The clitoral swelling was witnessed by two physicians; no additional vulvar or pelvic pathology was identified. The patient responded initially to treatment with imipramine hydrochloride and discontinuation of trazodone hydrochloride.Conclusion: Clitoral priapism is a rare condition that may develop during therapy with certain psychotropic medications, specifically those having alpha-adrenergic blockade. Clinicians should be aware of this condition in order to avoid delays in diagnosis and treatment. Quote Link to comment Share on other sites More sharing options...
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