: A traditional role in some Indigenous cultures that encompasses both masculine and feminine spirits. Intersectionality & Community Dynamics Cultural Competence in the Care of LGBTQ Patients - NCBI
The community encompasses a wide spectrum of gender identities and expressions that go beyond the traditional male/female binary. shemalecom xxx
: A personal process that can involve social changes (like names and pronouns), medical steps (hormones or surgery), or legal recognition. : A traditional role in some Indigenous cultures