Enlarged clitoris due to testosterone

An eight-year-old girl presented with abnormal secondary sexual development. The patient had no notable medical history and was taking no medication. On examination, her breast development was classified as Tanner stage 1 and her pubic hair development as Tanner stage 3. She had an enlarged clitoris see accompanying figure and mild acne on her face.

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Attention women: Low sex drive? Testosterone won’t help

Clitoromegaly - Wikipedia

But when symptoms of insomnia, fatigue, anxiety, depression, low libido, migraines, and hot flashes that could start a forest fire sent me into a mid-life tailspin, I visited a bioidentical hormone replacement specialist who said my hormones were out of whack. The list was long: hypothyroidism, estrogen dominant, low progesterone, and surprisingly, I had extremely low testosterone. Who knew a middle-aged woman needed testosterone? I was put on a bioidentical hormone cocktail that included testosterone cream. Within a few weeks, I was shocked to discover a miniature penis growing from my girly parts.
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Disorders of Sexual Development

Testosterone supplementation for women is a hot topic. For women after menopause, it took 5 mg, the lowest dose of this product, to raise testosterone back to a premenopause level. Gass, there are no long-term studies of the effects of testosterone treatment on women's overall health. We do know that too much testosterone in a woman's body may result in excess body hair, acne, male-pattern hair loss, enlarged clitoris, deeper voice, liver damage, unhealthy changes in cholesterol, depression, aggression and more.
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Management of the enlarged clitoris, because of its import for sexual function, has been and remains one of the most controversial topics in pediatric urology. Early controversy surrounding clitoroplasty resulted from many factors including an incomplete understanding of clitoral anatomy and incorrect assumptions of the role of the clitoris in sexual function. With a better understanding of anatomy and function, procedures have evolved to preserve clitoral tissue, especially with respect to the neurovascular bundles.
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