#vcvs

I made a little zine based on my experiences growing up with and figuring out I had clitoral hypoplasia, and the relief I felt when I realized I’m not alone.

Vulvicryptic variations (VCVs) are congenital variations in vulvovaginal genitalia, outside of what is considered typical for a body with a vulva, which are profoundly under-researched, under-diagnosed, or entirely unknown / undescribed. The term is meant to help provide language and community to people with sex trait variations that have little to no resources, from perisex or intersex sources.

These variations are very hard to find information on, and what exists tends to be focused on young children and surgical procedures. Doctors may have never heard of these variations, and different doctors may see and approach these variations wildly differently because of the lack of consensus. This is often due to intermisogyny / intersexist medical misogyny (IMM). People with VCVs may have experienced CIMI (coerced intersex medical interventions) such as being pressured to have a hymenectomy, labioplasty, undergo vaginal dilation, or be put on birth control or other hormonal treatments with the goal of diminishing their sex variant traits.

All VCVs can fall under the intersex umbrella, because they are congenital variations in sex characteristics outside of what is seen as typical for a "female." But people with VCVs can choose personally whether or not they identify as intersex. Similarly, VCV is an optional label & people may or may not want to refer to their variations with this term; whether or not someone's variation counts as a VCV is a personal choice.

Here is a non-exhaustive list of examples of variations that fall under the vulvicryptic variation umbrella:

Vulvar hypospadias (including persistent urogenital sinus) and epispadias (the urethra being lower/higher than typical respectively; PUGS is also total hypospadias, when the urethra is within the vaginal canal)

Urethral duplication / triplication (multiple urethras; can be typically placed, hypospadiac, and/or epispadiac)

Hymenal hypertrophy (thick, protruding, possibly inflexible hymen) also called a sleeve or redundant hymen

Atypical hymen variations like imperforate, microperforate, cribiform, and septate

Labial fusion (either the minora or (less often) the majora are fused together; this can be anywhere from covering the bottom half of the vaginal opening, to covering up most or all of the vulva. the labia minora can also fuse with the labia majora)

Labial hypertrophy (larger than typical labia)

Labial hypoplasia (smaller than typical labia)

Clitoral hypoplasia / atresia / vulvar aphallia (smaller than typical clitoris or no clitoris)

Vulvar aposthia (lack of a clitoral hood/foreskin)

Vaginal hypoplasia (smaller than typical vaginal canal)

Vaginal septum (the vagina is separated into two canals)

Uterine variations like bicornate/didelphys (two uteri)

It isn't uncommon for people to have multiple VCVs. In particular, it has been noticed that many people with hypospadias also have a hypertrophic hymen, and frequently also labial fusion and other clitoral/labial variations. Right now, this particular constellation of traits is called H-VCV (hypospadiac vulvicryptic variation) but other names, like crypostreum, have been suggested!

Clitoral hypoplasia is often defined as having a clitoris that is smaller than 2mm in diameter; that’s difficult to picture for many people.

Here are some images of ~2mm objects compared to body parts and other common objects.

Many people don’t understand why this variation ‘counts’ as intersex. It’s not just about appearance- Clitoral hypoplasia can affect sexual function or self esteem, and may cause body dysphoria or feelings of isolation.

!!! I am so glad I could help! I learned of the term for the first time on tumblr also; it’s definitely a relief to know that we’re not weird or broken, just different. Sex education is so lacking, especially when it comes to the clitoris, I always wonder how many people in the world have clitoral hypoplasia and just don’t know that they aren’t peritypical.

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