Can suction toys enlarge the clit over time?

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Supposedly, they can increase blood flow to the clit over time, enhancing sensation. This is not the same as increasing the amount of tissue. Suction should not encourage new tissue to grow. It's basically the same concept as with the penis pump: makes it look bigger when there is blood engorging it, returns to normal size later.

There is a prescription-only therapy device used to treat arousal disorders which is basically just a sophisticated clit pump. You could try tooling around their (admittedly biased and promotional) web site if you are interested in learning more. link