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    Not to be confused with Angenital.
    The Agenital flag.

    Agenital, Agenitalia, or The Agenital Spectrum is a term for intersex traits under the teresex umbrella in which one is born without visible genitals or without parts of ones genitals, due to being abnormally closed, underdeveloped, or absent (genital aplasia). The variation does not usually occur by itself, but is usually coupled with other intersex variations.

    It may or may not be coupled with gonadal agenesis, gonadal dysgenesis, and/or secondary sex agenesis. The opposite of this variation is macrogenital.

    Vulval Subsets

    Vaginal Atresia

    Vaginal Atresia is a term for when someone has an abnormally closed or absent vagina. This includes vaginal aplasia, vaginal hypoplasia, transverse vaginal septums, and imperforate & microperforate hymens.[1]

    Vaginal Aplasia

    Vaginal Aplasia or Vaginal Agenesis is when someone has little to no vaginal entrance. It is estimated to occur amongst 1 in every 4,000 AFAB or otherwise CTF individuals.[2]

    Vaginal Hypoplasia

    Vaginal Hypoplasia is a term for when someone has an underdeveloped vagina. It typically causes little issue, as sexual activity with the vagina is usually still possible, even if its undersized or underdeveloped.[3]

    Transverse Vaginal Septum

    A Transverse Vaginal Septum is a subset in which someone is born with a wall of scar-like tissue (septum) running horizontally across the vagina, blocking all or part of the vagina.[4][5]

    Imperforate Hymen

    Imperforate Hymen is a subset in which a person is born with a hymen that is completely covering their vaginal opening. In many cases, surgery to remove the hymen is necessary for the patient to have normal menstrual periods or sex.[6]

    Microperforate Hymen

    Microperforate Hymen is a subset in which a person is born with a hymen that is completely covering their vaginal opening except for a hole typically no bigger than the urethra. In many cases, surgery to remove the hymen is necessary for the patient to have normal menstrual periods or sex.[7]

    Cribriform Hymen

    Cribiform Hymen is a subset in which a person is born with a hymen that is completely covering their vaginal opening except for several tiny holes. In many cases, surgery to remove the hymen is necessary for the patient to have normal menstrual periods or sex.[8]

    Labial Hypoplasia

    Labial Hypoplasia is a subset of vaginal hypoplasia in which one is missing one or both labia. It is generally not an issue, as the labia are not essential to urination or sexual activity.

    Clitoral Hypoplasia

    Clitoral Hypoplasia is a subset of vaginal hypoplasia in which one has an underdeveloped or small clitoris. It typically causes little issue, as sexual activity with the clitoris is still possible, even if its undersized or underdeveloped.

    Clitoral Aplasia

    Clitoral Aplasia is a subset of clitoral hypoplasia in which one does not develop a clitoris. It typically causes little issue in daily life, however it may cause issues within sexual activity.[9]

    Cervical Atresia

    Cervical Atresia or Cervical Dysgenesis is a term for when one with a vagina and uterus has a deformed cervix. If someone with cervical atresia is capable of menstruation, the blood may build up within the uterus, possibly leaking into the fallopian tubes as well. Birth control pills may be used in order to prevent menstruation while surgical intervention may be applied as well.[10]

    Cervical Agenesis

    Cervical Agenesis is a term for when one with a vagina and uterus is missing a cervix. If someone with cervical agenesis is capable of menstruation, the blood will build up within the uterus, as it has no way to output and can cause medical issues and pain.[11] Birth control pills may be used in order to prevent the menstruation[12] while surgical intervention may be applied as well.[13]

    Penile subsets

    Penile Agenesis

    Penile Agenesis or Penile Aplasia is a term for when someone who is expected to develop a penis has no genitalia. This is estimated to occur in between 20 and 30 million AMAB or otherwise CTM births. One with this variation almost always needs to have surgical intervention, as they usually have no urinary outlet.[14]

    Micropenis

    Micropenis, Microphallus, or Penile Hypoplasia is a term for when one has an unusually small penis, usually due to another intersex trait, however this is not always the case. This effects about 0.6% AMAB or otherwise CTM individuals. This may be considered a subset of ambiguous genitalia in some cases, and may overlap with clitoromegaly. It typically causes little issue, as sexual activity with the penis is still possible, even if its smaller than expected.[15]

    Cryptorchidism

    Cryptorchidism is a term for when one is born with a testicle/testicles that are undescended (within the body, rather

    than in a scrotum.) There is currently no findable estimate of this occurrence in AMAB or otherwise CTM births. One with this variation likely also has hypospadias.[16]

    Monorchidism

    Monorchidism or Monorchism is a term for when one has a single testicle. They are typically fertile, as their single testicle is usually functioning.[17]

    Congenital Anorchia

    Congenital Anorchia or Testicular Agenesis is a term for when one is born with a penis and scrotum that has no testicles.[18] AMAB hypogonadism occurs for those with this variation.[19] This is also considered a form of gonadal agenesis.

    Microorchidism

    Microorchidism is a term for when one has unusually small testicles. One with this variation typically has a lack of masculine hormones released due to the decreased size and functionality, which often leads one to have more feminized traits.[20]

    Neutral subsets

    Aphallia

    Aphallia is a term for someone who is born without a phallis. This includes penile agenesis and clitoral aplasia. It is a rare variation with very little reports, however this lack of reports is likely due to fear of stigmatization.[21]

    Urethral Agenesis

    Urethral Agenesis is a term for someone who is born without a urethra. This can effect both CTM and CTF individuals and may be a partnered variations with other agenital forms.[22][23]

    Those with this variation may or may not be born without a bladder as well (bladder agenesis.) Surgical intervention is often needed, otherwise the urine may come out of the anal area instead, possibly causing many medical issues.

    Other Definitions

    Agenital is sometimes used interchangeably with angenital, which is an altersex identity in which one desires to be without genitals. It is also occasionally used to refer to asexuals who are repulsed by genitalia but are not necessarily not devoid of sexual feelings or repulsed by other sexual acts that do not primarily involve genitals.

    Flags

    The flag was coined by Tumblr user idvault on January 17th of 2021. It has no confirmed meaning.[24]

    References

    1. https://fertilitypedia.org/edu/diagnoses/gynatresia
    2. https://web.archive.org/web/20220127100218/https://www.sciencedirect.com/topics/medicine-and-dentistry/vagina-aplasia
    3. https://en.wikipedia.org/wiki/Vaginal_hypoplasia
    4. https://www.nicklauschildrens.org/conditions/transverse-vaginal-septum
    5. https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/vaginal-septum/
    6. https://archive.today/https://youngwomenshealth.org/2013/07/10/hymens/
    7. https://my.clevelandclinic.org/health/diseases/23379-microperforate-hymen
    8. https://my.clevelandclinic.org/health/diseases/22258-cribriform-hymen#:~:text=The%20hymen%20is%20a%20fleshy,flow%2C%20sex%20and%20tampon%20use.
    9. https://web.archive.org/web/20220120174754/https://www.jpagonline.org/article/S1083-3188(05)00165-8/fulltext
    10. https://www.fertstert.org/article/S0015-0282(20)30098-4/fulltext
    11. https://en.wikipedia.org/wiki/Cervical_agenesis
    12. https://www.texaschildrens.org/health/cervical-agenesis#:~:text=Cervical%20agenesis%20occurs%20when%20a,is%20born%20without%20a%20vagina.
    13. https://www.panafrican-med-journal.com/content/article/36/211/full/
    14. https://web.archive.org/web/20220120174749/https://en.wikipedia.org/wiki/Penile_agenesis_and_testicular_agenesis
    15. https://web.archive.org/web/20220124202904/https://en.wikipedia.org/wiki/Micropenis
    16. https://web.archive.org/web/20220201040227/https://en.wikipedia.org/wiki/Cryptorchidism
    17. https://web.archive.org/web/20220120174751/https://en.wikipedia.org/wiki/Monorchism
    18. https://medlineplus.gov/ency/article/001185.htm#:~:text=In%20some%20cases%2C%20the%20testes%20may%20disappear%20between%2012%20and,the%20%22vanishing%20testes%20syndrome.%22
    19. https://www.theturekclinic.com/anorchia/
    20. https://web.archive.org/web/20220127043640/https://en.wikipedia.org/wiki/Microorchidism
    21. https://web.archive.org/web/20220120174748/https://en.wikipedia.org/wiki/Aphallia
    22. https://web.archive.org/web/20220127050046/https://link.springer.com/chapter/10.1007/978-3-319-43310-3_23
    23. https://web.archive.org/web/20220130123705/https://www.hindawi.com/journals/au/2020/2782783/
    24. https://web.archive.org/web/20220127032813/https://varsex-pride.tumblr.com/post/640569385405349888
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