Clitoromegaly (or macroclitoris) [1] is an abnormal enlargement of the clitoris that is mostly congenital; it is otherwise acquired through deliberately induced clitoral enlargement, a form of body modification, by use of anabolic steroids, in particular testosterone. [2][3][4][5] It can happen as part of a gender transition. It is clinically distinguishable from normal enlargement of the.