I received a message from a woman who was considering a VCH piercing:

Hi Elayne,

I am a 31 year old woman who was paralyzed from the waist down at the age of 18.  I recovered most of my feeling and function over the next six months, and can now feel my clitoris, gspot... although I do have some patchy feeling around my labia etc.  I have never really orgasmed, I've had little rushes, but nothing like people describe.  I was talking about this in a woman's circle I'm part of and one of the women said that I might look into a VCH.

Any thoughts?

My response:

Hi.

Thanks for you message. I'm assuming you read this part of my site? http://piercingbible.com/female-genital-piercings#VCH

I'm obviously very passionate about piercing--especially of the female genitals. That said, I wonder if you've ever tried a Hitachi wand or other high-powered vibrator for clitoral stimulation?

Many women find it works for them, even when nothing else does the job.

On the other hand, if you're anatomically suited to a VCH and it appeals to you, then you should go for it! If you have clitoral sensation, then there is a pretty good chance that you will find it adds to your stimulation. 

Obviously it is very important to find a qualified professional. Where are you located? Perhaps I can do the piercing for you?

I have done genital piercing for a woman who was paraplegic but who did not have localized sensation. She wanted it for herself, as a form of claiming her own body, and she was very happy with it.

A potential issue to consider is how the jewelry will rest when you're seated (I assume you spend a lot of time in that position?) Another aspect is that you should keep a good eye on it (literally by visually checking on it) during healing. This is especially important if you have diminished sensation, as you'd be less likely to feel if there's something going awry with the healing process.

To evaluate for a VCH piercing, you have to try the q-tip test as shown and explained on this page of my website: http://piercingbible.com/q-tip-test

You should de-fluff the swab and lubricate it bit if your hood seems tight or shallow and simply insert the swab under your hood but don't push up too hard on it. Sometimes there's not much of a natural "overhang" of skin, but if it can be manipulated to cover, it is still safe to do the piercing. So if your hood doesn't cover the tip of the swab, use your other hand to try to manually move the tissue down to try to draw the skin over to the swab tip. (It is easier to push the tissue down rather than try to pull it.) The skin won't stay in that position like that, but that's fine--if you can get it to cover, it means you're a candidate--at least for ME to do the piercing. Not all piercers know how to work with minimal anatomy. 

If you don't have help to take photos, don't worry about the camera--just try it out and let me know how it goes.