title: Female clitoral priapism: an over-the-counter option for management.
abstract: BACKGROUND
  Female priapism is a rare condition that is not commonly described in the literature. There are many treatment strategies for the management of priapism, including conservative and safe over-the-counter options.
  
  
  OBJECTIVE
  To describe a case of a woman who presented with clitoral priapism, who was managed conservatively with a simple over-the-counter treatment plan.
  
  
  METHODS
  A 29-year-old gravida 0 para 0 presented to the emergency room with painful clitoral priapism lasting for 5 days. Despite cessation of the suspected causal agents, trazodone and wellbutrin, her symptoms persisted.
  
  
  RESULTS
  The patient was managed conservatively with analgesics and around-the-clock oral pseudoephedrine and experienced complete resolution of her symptoms.
  
  
  CONCLUSIONS
  Oral pseudoephedrine may be a reasonable option for certain patients, and may be considered as a first-line therapy and adjunct to conservative measures.
authors.affiliation: Cleveland Clinic, Center for Urogynecology and Reconstructive Pelvic Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland, OH, USA.
authors.forename: Cecile A
authors.initials: CA
authors.lastname: Unger
authors.forename: Mark D
authors.initials: MD
authors.lastname: Walters
mesh_terms: D000328:Adult; D016642:Bupropion / Q000009:adverse effects; D002987:Clitoris / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D004366:Nonprescription Drugs / Q000008:administration & dosage / Q000627:therapeutic use*; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D011317:Priapism / Q000139:chemically induced / Q000188:drug therapy* / Q000209:etiology*; D054199:Pseudoephedrine / Q000008:administration & dosage / Q000627:therapeutic use*; D014196:Trazodone / Q000009:adverse effects
chemical_list: D004366:Nonprescription Drugs; D016642:Bupropion; D054199:Pseudoephedrine; D014196:Trazodone
keywords: Clitoral Corpora Cavernosa; Clitoral Engorgement; Clitoral Priapism; Clitoromegaly; Female Sexual Dysfunction; Oral Vasoconstrictive Agents