genital piercing

Vertical Clit Hood Piercing (VCH) With Short, Straight Barbell (Updated)

Here's a recent consultation I performed for a couple who were considering a Vertical Clit Hood piercing, and then had jewelry issues after the woman was pierced:

Hi Elayne.

My wife had scheduled an appointment for a VCH piercing next week with a piercer in Florida. I am a registered nurse and feel comfortable driving there for this procedure after doing a good bit of research, however, after reading many blogs on your site i have started worrying about surface piercings and worse complications. Should i worry about these things? I hope you will be able to put my mind at ease.


My response:


If you visit my referrals page: you will find the few handfuls of piercers I refer to worldwide. You are wise to consider the skill of the piercer as a VCH piercing is one of the piercings most often botched by inexperienced or poorly trained piercers. 

He wrote back:

Thank you for the reply.  Also, is there any truth to gradual desensitization over time after the vch placement due to constant contact?

Thanks again.

My response:

Here's an excerpt from The Piercing Bible that adresses your question:

Piercing Bible Excerpt Sensation

If you wish to become a more well-educated consumer, I suggest you get my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing.

Vertical Clitoral Hood (VCH) Piercing Jewelry Problem


I received a message from a woman who was concerned about the jewelry in her vertical clit hood (VCH) piercing:

Hi I have a vch piercing I've had it for about 3 months I think . When I first got it done I went to a piercer that has done all my other piercings and I asked him what I could get for 20$ he said anything I want so I chose a genital piercing so I didn't do any research or anything. About 5 days later I was taking a shower and couldn't feel the bottom ball I figured it was normal but I was still a little worried so I looked it up n I read horrible stories n i got really scared I thought I was going to have to go to the e.r I called him the next day and told him what happened and he said to come in and he'll fix it so I did after I read the things on your website I figured I'd need a longer bar when I went in he said the ball got pulled through the wound and healed it inside he had to stick a taper through the hole and push the ball through after a half hr to an hr of pain he finally got it out he was goin to leave the original jewelry in but I said I wanted a longer bar so he put it in and it healed after a few weeks after it was healed the longer bar was getting in the way so I wanted the shorter one back in I went back to him and he switched it he told me to keep an eye on it just incase I was nervous that it would happen again and asked him if their was a middle length he could switch it to and he said there is no middle length it's been fine but I'm still nervous that it will happen again so I check it and its been really weird the top ball disappears and I don't know what I should do it doesn't hurt at all so I think it's healed  I don't know the lengths or gauge I don't want to take it out please help me as soon as you can.

Prince Albert (PA) Piercing Evaluation on Uncircumcised Man


I received a message from an uncircumcised man asking for a piercing evaluation for a Prince Albert (PA) piercing:


I got a PA done just over a week ago, and I'm a bit concerned about the positioning. I'm can't see any sign of migration (yet?), but I'm not sure there's enough flesh holding it, and while I don't plan to stretch to jumbo sizes I do want to go up to at least an 8g. I'm uncircumcised, which adds the additional complication of positioning it with my foreskin, so I'm not sure if it could have gone further back or if I'm just unsuited to this piercing. If unsuited, would an apadravya (either converting the PA or healing and getting it done new) be an option, or would you recommend a reverse PA?


Prince Albert piercing on uncircumcised penis.

Prince Albert piercing on uncircumcised penis.

Prince Albert piercing on uncircumcised penis with ruler to indicate depth.

My response:

Without being able to manipulate your tissue (see your foreskin in it's "resting" position and also pull the foreskin back) it is hard for me to evaluate whether there is a suitable PA placement option for you that is further away from the lower edge of your urethra.

Body Jewelry Removal Considerations

Hi Ms. Angel,

Hope you are well. You did my triangle piercing last year in Philly and I'd like to remove it for a few hours. Do you think it would be a problem to put it back in? BTW, I love it! 

My reply:


There's a chance if you remove it you won't be able to reinsert it. On some women, this can happen instantaneously with triangle piercings, because of the way I manipulate the clitoral shaft to rest in front of the jewelry. There's a possibility it could slip back and block the channel even if the piercing is well established. I've had some very distressed clients who found out the hard way that it just couldn't  be reinserted, even after the briefest removal.

Since you love it, maybe you can avoid taking it out? 

Or, at the very least, I'd strongly suggest you get an insertion taper before you do so. That can help you to reinsert it with less difficulty or trauma. You can get them here: 

I'd suggest the one for threaded jewelry in the 12 gauge (which is the most common size I use and should be what you're wearing unless we discussed some other size, or you have stretched up since I pierced you).

Information that will be very helpful to you is located in Chapter 17 of my book, The Piercing Bible. Here's a brief excerpt that should prove useful if you decide to do any jewelry changes (or try out brief removal):

Insertion Tapers for Jewelry Changes

Consultation: 11 Years With An Apadravya (Male Genital) Piercing- Will It Heal?

I performed a consultation for a man who abandoned an Apadravya piercing:

Hey Elayne.

I have had an Apadravya in for 11 years. I believe it was originally pierced as a 10G and then stretched to an 8G.

Apadravya Piercing
An apadravya piercing

It is time to take it out. I took it out about 48 hours ago. I almost feel like my penis is now more in danger than it was when I had the barbell in. And am curious to know if the holes will eventually close up or if an 8 Gage is too big of a gap or maybe too much time has passed to allow this to happen. Like a doctor couldn't cauterize the hole to gap it, right?

Maybe too much worrying going on in my head. I just don't want these new un-covererd holes from getting infected and I almost want to pump someone full of baby juice at somepoint. So this tripple pee spray is not the spread I want.

Thank you for any and all information.

Thanks for listening.

My reply:

Hello D.

When abandoned, a piercing that old won't "heal" per se, but it is very likely to shrink. Your piercing has "epithelialized" as cells have grown to line the channel making it a sealed hole within your body. So it isn't an opening wound, but a channel all to itself (a "fistula"). This is assuming, of course, that you weren't experiencing irritation, a flare-up, or other problem, which can indicate that there is open tissue.

This is from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing:

Will It Close?

Apadravya Irritation And Healing Solutions


I received a message from a man who was concerned about his apadravya piercing:

Hi Elayne,

I love my aprydavya, but I have been having problems with it lately.  I have been doing the sea salt solution (1 teaspoon per cup of distilled water).  It has been irritated over the past two weeks and was not getting better with the nightly salt soaks of 20 minutes.  Also, I think I may have screwed up with making a batch of the solution, storing it in a separate container and poring it into another container to soak as opposed to making a fresh batch every time   Now I make a fresh batch of the solution,  but do you think I should see a doctor about the irritation?  Also, do you think that the jewelry may be too long?  When wearing tighter pants, it really contorts the angle and I think that is were the irritation started.

I have attached photos.


Apadravya Healing Flare Up Apadravya Healing Flare Up

My response:

It doesn't look worthy of a doctor visit to me. It may be from trauma, as you mentioned in your message. You'll need to check your own jewelry fit. When you're fully erect, if there is still extra room then you can and should get a shorter post put in.

Vertical Clitoral Hood (VCH) Piercing Worries


I received a message from a woman who was worried about her new VCH piercing:

Hi Elayne, 

I have been searching the internet for two days now trying to decide what to do, so  I finally decided to ask for some advice. I just got my VCH piercing the other day, and everything went alright. But the next day it seemed I developed a yeast infection. I woke up the next morning and my lymph node near my groin area was HUGE and very sore. My piercing is a bit tender, but there is no redness or pus or any sign of infection.

Does this mean there is bacteria in my piercing? Should I take it out or would that make it worse? I have been going back and forth about just taking it out anyways, but I'm scared it might irritate it more. Will just simply cleaning it daily solve the problem, or should I contact a doctor? My anxiety is through the roof and I have been worried about it constantly. If you could give me any advice at all I would greatly appreciate it.

My response:

Is it possible that something else (sexual activity?) caused your symptoms? It isn't uncommon that people will give their unpierced parts a final sendoff before piercing and may engage in more sexual activity than normal. A piercing isn't apt to cause yeast infections (though overly strong soap can.)

Your swollen glands could indicate a problem. Though they may just be overreacting to the foreign object. I'm not a doctor and I can't even see you, so it is hard to help. 

However if the piercing is infected, then quality jewelry of an appropriate size and material should be left in place to allow for drainage. Though you descirbe the piercing as not being inflamed, so I really don't know what's warong, or that it is entirely related to the new piercing.

Do you have a fever? If so, then I would definitely suggest a visit to the doctor right away.

Yes, It's A VCH (Vertical Clitoral Hood) Surface Piercing


I received a message from yet another woman who got a surface piercing instead of the VCH she paid for:

Hi Elayne.

I got my VCH piercing done yesterday and upon further inspection of the piercing and seeing the pictures on your site, I have come to the realisation that it is indeed a surface piercing.

It is only a day old so I know I shouldn't change it but I want to know, once it has healed, should I change it or just leave it? From where it is placed, I could put the new bar in from the top and it should leave from the bottom.

Many thanks for your help. I live in the UK so I am not able to visit you as I'd like.


My response:

Another misplaced VCH




Hi S.

Yes, it is just a surface piercing that doesn't go under your hood at all. You really should remove it IMMEDIATELY. You are in danger of the jewelry becoming embedded. And it is really NO WHERE CLOSE to where it should be placed.

Even if the jewelry that was inserted fit (or you changed for jewelry that does), such surface piercings tend to have healing issues such as migration, scarring, and/or rejection. Even when properly fitting jewelry is placed this way, getting it out sooner is better than later, as scar tissue is naturally formed if you allow it to remain.

I put an arrow on your photo to show where the jewelry should be coming out from UNDERNEATH your hood. If you need help to remove it, go right away. It will only get harder to take out the longer you leave it in place.


Syndicate content