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==Females== [[File:Female Smegma.jpg|thumb|left|Human [[vulva]] with visible smegma between the labia|200x200px]] The accumulation of [[sebum]] combined with dead skin cells forms smegma. ''Smegma clitoridis'' is defined as the secretion of the [[apocrine]] (sweat) and sebaceous (sebum) glands of the clitoris in combination with [[Desquamation|desquamating]] epithelial cells.<ref> {{cite web |title=Medical Dictionary |url=http://www.medilexicon.com/medicaldictionary.php?t=82565 |publisher=Medilexicon }}</ref> Glands that are located around the clitoris, the labia minora, and the labia majora secrete [[sebum]]. If smegma is not removed frequently it can lead to clitoral adhesion which can make clitoral stimulation (such as masturbation) painful (clitorodynia).<ref>{{cite journal |last1=Aerts |first1=Leen |last2=Rubin |first2=Rachel S. |last3=Randazzo |first3=Michael |last4=Goldstein |first4=Sue W. |last5=Goldstein |first5=Irwin |title=Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris |journal=Sexual Medicine |date=June 2018 |volume=6 |issue=2 |pages=115β122 |doi=10.1016/j.esxm.2018.01.003 |pmid=29559206 |pmc=5960030 }}</ref><ref>{{cite journal |last1=Rubin |first1=Rachel |last2=Minton |first2=Julea |last3=Gagnon |first3=Catherine |last4=Winter |first4=Ashley |last5=Goldstein |first5=Irwin |title=PD25-02 Taking Responsibility for Female Prepucial Disorders: Urologic Management of Phimosis-Based Clitorodynia |journal=Journal of Urology |date=April 2017 |volume=197 |issue=4S |doi=10.1016/j.juro.2017.02.1197 |s2cid=78573467 }}</ref><ref>{{cite journal |last1=Parada |first1=Mayte |last2=D'Amours |first2=Tanya |last3=Amsel |first3=Rhonda |last4=Pink |first4=Leah |last5=Gordon |first5=Allan |last6=Binik |first6=Yitzchak M. |title=Clitorodynia: A Descriptive Study of Clitoral Pain |journal=The Journal of Sexual Medicine |date=August 2015 |volume=12 |issue=8 |pages=1772β1780 |doi=10.1111/jsm.12934 |pmid=26104318 }}</ref><ref>{{cite journal |last1=Shafik |first1=A. |title=The Role of the Levator Ani Muscle in Evacuation, Sexual Performance and Pelvic Floor Disorders |journal=International Urogynecology Journal |date=November 2000 |volume=11 |issue=6 |pages=361β376 |doi=10.1007/pl00004028 |pmid=11147745 |s2cid=29636705 }}</ref>
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