Clitoromegaly

Clitoromegaly or Macroclitoris is variation under the macrogenital umbrella in which one has a clitoris larger than expected, possibly resembling a small penis. This is a description, rather than a diagnosis, as it can be congenital or acquired. This is typically a result of exposure to testosterone in AFAB/CTF individuals, either in the womb or later in life.

If it is congenital or is caused by a natural hormonal imbalance it can be considered a variation of intersex and a form of ambiguous genitalia. Sometimes, individuals with clitoromegaly may be incorrectly assigned male at birth due to the clitoris resembling a penis.

Acquired clitoromegaly is often seen in transmasculine individuals on hormone replacement therapy, and müllerian athletes who use androgens to enhance muscular growth. Animals can also have these variations, however within animals it is called a pseudopenis.