“To be clear, the clitoris is more than a nerve-rich button near the pubic bone. That’s just the visible part, called the glans. The organ actually extends inches into the body in a winglike formation, its entire structure responsive to arousal cues. Genetics is the main determinant of clit size, says Marci Bowers, MD, a gynecologist and surgeon in California specializing in gender-affirming procedures. Naturally occurring testosterone—the amount your body makes on its own—might play a role as well.
There’s no question that synthetic testosterone and related hormones—creams like Kristie’s applied directly to the clit, or gels and injections administered elsewhere on the body—can size up a clitoris by binding to its androgen receptors and increasing blood flow. (Testosterone is also a well-known driver of libido and arousal. A task force of 11 medical organizations, including the Endocrine Society, even has clinical guidelines for using it to treat chronically low sexual desire.)
But intimate satisfaction isn’t solely dependent on clit size. Right now, for example, there’s no scientific evidence that an enlarged clitoris develops additional nerve endings. What is possible, though, says Meera Shah, MD, chief medical officer of Planned Parenthood Hudson Peconic in New York, is that a greater surface area may make certain sensations—the blood rush of arousal, physical touch—more noticeable.
Better understood are the potential side effects that come with taking testosterone, things like thicker body hair, thinning hair hair, acne, a deeper voice, ovulation issues, and high cholesterol, among others. Soon after she tried DIYing her DHT, Kristie experienced heart palpitations, a weird sense of rage, and insomnia, which prompted her to scale back. “I wasn’t dosing myself correctly,” she says.ADVERTISEMENT – CONTINUE READING BELOWhttps://cbda09fdcacc2430210c035933562c0a.safeframe.googlesyndication.com/safeframe/1-0-38/html/container.html
Doctors, including Dr. Bowers and Dr. Shah, generally advise against using non-prescribed testosterone. “You have to get the right balance for it to work,” says Dr. Bowers. “It’s about threading the needle in terms of side-effect tolerance versus an intended benefit.” Through trial and error, Kristie eventually settled on a dose that feels good, and she’s okay with the slightly deeper voice and additional body hair it’s brought her.“I do identify as genderfluid and non-binary,” she says. “A lot of women in the community would be bothered by a voice change or hair growth, but personally, I don’t mind.” In the clit-growing world, certain side effects are not universally viewed as good or bad. (Some users want a cute little ’stache.)
All this points to another reason clit enlargement may be gaining ground: Notions of masculinity and femininity are undergoing a cultural remix. “We’ve expanded our definitions of what it is to be a gendered person,” Dr. Bowers says. “Who’s to say what is a feminine ideal anymore? Who’s to say what is a masculine ideal? Maybe coming to the middle a little bit is attractive.”
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