Clitoris is swollen for days after sexual activity

Originally Published: May 24, 2002 - Last Updated / Reviewed On: July 15, 2005
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Dear Alice,

I am seventeen, and I seem to be having a problem, though it occurs somewhat sporadically. My boyfriend fingers me, but I never have an orgasm, and afterwards, the swelling of my clitoris is supposed to go down, right? I have had a swollen clitoris for up to three days, with the swelling very slowly diminishing over the course of time. I don't think this is supposed to happen, and it proves to be very uncomfortable — any time I bump into anything, it's like a shock wave. Please help.

-Uncomfy

Dear Uncomfy,

When a woman is sexually aroused, blood flow to the genitals, lubrication, and breathing rate increase, the vagina elongates, and the clitoris and labia "swell." As pleasure builds up, some women orgasm, and others do not. Shortly after orgasm, the genitals return to their unaroused and unengorged state. If there is no orgasm, it takes longer for the physical signs of arousal to subside.

Since your clitoris is swollen, or engorged, for an extended period of time, it is possible that you are experiencing a situation similar to "blueballs." Men describe this condition as a painful, uncomfortable, or throbbing sensation in their testicles from arousal and stimulation without orgasm, since less blood is flowing out of the genital area than into it.

In your letter, you write that you do not orgasm when your boyfriend fingers you. It is possible, and even likely, that not having this "release" is the culprit causing your discomfort. Orgasm allows your body and clitoris to go back to their unaroused states, the throbbing usually subsiding more quickly after orgasm. Conversely, without orgasm, all of this takes place more slowly. If you've never had an orgasm, or haven't had one yet, this may result in a more chronic state, with increased pelvic congestion. If this is the case, then reading and practice may be your next steps. Looking at Just can't orgasm in Alice's Sexuality archive, which has info and resources you might find useful, is a good starting place.

Since Alice doesn't know your medical history and can't provide a diagnosis over the web, a visit to your health care provider can rule out any possible infection.

Since you mentioned that the persistent swelling occurs somewhat sporadically, before you visit your health care provider, it may be helpful to answer the following questions. The answers can help both of you figure out if specific situations are causing the discomfort.

  • Does this happen as a result of any type of sexual stimulation, including masturbation, or only when your boyfriend fingers you?
  • Are you able to orgasm from other types of sexual activity? If so, does this soreness or tenderness happen only when you do not orgasm?

Hopefully, you will be able to identify the reason you are experiencing this discomfort so that you can avoid having shock waves in the future, or at least could learn to enjoy them.

Alice

July 15, 2005

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Dear Alice,

Dear Uncomfy,

Your clitoris can remain engorged and erect for a very long time, although this is not common. There could be several causes, one being that you are still very...

Dear Alice,

Dear Uncomfy,

Your clitoris can remain engorged and erect for a very long time, although this is not common. There could be several causes, one being that you are still very aroused as you did not orgasm. However, some women find themselves in this state quite often as I do. My clitoris is aroused and erect most of the time and I have learned to enjoy it.

Lisa