Clitoral adhesion large labia NSFW

Hi all. So I had no clue what clitoral adhesions were until yesterday. I had no clue that I even had a clitoral hood! Basically I need some help knowing if I have clitoral adhesion because I’m not sure if I do or if my clit just looks like this.

This all started because I have been having a worsening amount of pain around my clit. I can hardly stand when my partner touches me anymore and have been having problems orgasming and getting wet. It definitely feels like a scratchy, painful feeling whenever he touches me with any amount of force. I never mastrubate using my hands for this reason. Looking into it last night, I never ever knew that you were supposed to be able to retract your clitoral hood. I never have or have cleaned it. I just splashed water on the outside as I assumed you are supposed to do.

The reason I am unsure on if I have cliteral adhesions or not is because I have larger labia? Or clitoral hood? I can’t really pull it back from where it connects to my?? Maybe clit? and I never have really taken the time to look down there. All the pictures I can find online and all the videos talk about being able to see the clit. I’m wondering if mine is weirdly shaped or something? Because it’s not really a circle and it feels better on top of where the hood is. But lifting it up, I only see a little nub connected to the hood fully.

With a q tip looking around last night I discovered (maybe gross) that I can insert it into a little hole where I thought my clit was, pretty deep, about an inch. I can only move it around in the tiny hole ( there was nothing in there just sore and it all connects to the hole). There was a little bit of a white dot so maybe keritan pearl but went away very easily and I couldn’t see anything else like it. How do I even see keritan pearls when everything is internal?? What I thought is my clit itself looks almost like butterfly wings connecting underneath this hole, but not circular. I will draw a diagram and add the link in the comments because I don’t want to add pics.

I don’t understand even if I have a cliteral adhesion how massaging it will help. Because I have a large clitoral hood that seems fully fused together with maybe a clit underneath, how would massaging it open it up?

I don’t have a bathtub, only a shower. I’ve seen people talk about creams which would not be an issue getting from my doctor as she’s very pro women’s health but do these hormonal creams have to be diagnosed? I have pmos and take progesterone, tyroid np, and spirolactone. So my hormones were changing a lot over 9 months.

Any help would be so greatly appreciated! I’ve read almost every story on here looking for advice. I was raised very religious and haven’t understood that pain isn’t normal until recently. No one taught me these things growing up. So anything would be helpful!