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Not to be confused with Angenital.

The Agenital flag.

Agenital, Agenitalia, or The Agenital Spectrum is a term for a rare intersex trait 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 Aplasia

Vaginal Aplasia or Vaginal Agenesis is when someone with a müllerian-like body has little to no genitalia. It is estimated to occur amongst 1 in every 4,000 AFAB or otherwise CTF individuals, and many with this variation seek out surgical change later in life (if they weren't altered as an infant.)[1]

Vaginal Hypoplasia

Vaginal Hypoplasia is a term for when someone with a müllerian-like body has an underdeveloped vagina. It typically causes little issue, as sexual activity with the vagina is still possible, even if its undersized or underdeveloped.

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.[2]

Penile subsets

Penile Agenesis

Penile Agenesis or Penile Aplasia is a term for when someone with a wolffian-like body 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.[3]

Penile Hypoplasia

Penile Hypoplasia is a term for when someone with a wolffian-like body has an underdeveloped penis. It typically causes little issue, as sexual activity with the penis is still possible, even if its undersized or underdeveloped.

Micropenis

Micropenis is a term for when one with a wolffian-like body who 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.[4]

Cryptorchidism

Cryptorchidism is a term for when one with a wolffian-like body is missing one or more testicle, or when one or more of the testicles have formed fully within the body rather than outside. There is currently no findable estimate of this occurrence in AMAB or otherwise CTM births. One with this variation likely also has hypospadias.[5]

Monorchidism or Monorchism is a term for when one with a wolffian-like body has a single testicle. They are typically fertile, as their single testicle is usually functioning.[6]

Microorchidism

Microorchidism is a term for when one with a wolffian-like body 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.[7]

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.[8]

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.[9][10]

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.[11]

References

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