Basically, all it adds is a little bit of clitoral sensation. The hood piercings just goes through the hood itself and leaves the jewelry sitting on top. There are claims out there that women can have an orgasm through walking up the stairs if they have one, but I barely ever felt mine (and actually hated it because it became irritating and in the way). Basically, place a small bead on your clitoris and rub it back and forth and that's what it feels like.