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At the same time, feminists began to draw a distinction between (biological) sex and (social/psychological) gender.

Contemporary gender theorists usually argue that a two-gender system is neither innate nor universal.

Third gender or third sex is a concept in which individuals are categorized, either by themselves or by society, as neither man nor woman.

It is also a social category present in societies that recognize three or more genders.

Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies".

A sex and gender distinction is not universal, and Peletz's description of gender as designating biological variations as well as cultural practices is not unique.

Because of both peer and parental pressure, those growing up with the most ambiguous appearances had the most troubled childhoods and difficulties later in life.

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Sell also discovered similarities between the third genders of the East and those of the West.

In March 2017, an Australian and Aotearoa/New Zealand community statement called for an end to legal classification of sex, stating that legal third classifications, like binary classifications, were based on structural violence and failed to respect diversity and a "right to self-determination".

It also called for the criminalization of deferrable intersex medical interventions.

In a study of arguments that intersex people fit into a third gender classification, intersex scholar Morgan Holmes argues that much analysis of a third sex or third gender is simplistic: much of the existing work on cultural systems that incorporate a 'third sex' portray simplistic visions in which societies with more than two sex/gender categories are cast as superior to those that divide the world into just two.

I argue that to understand whether a system is more or less oppressive than another we have to understand how it treats its various members, not only its 'thirds'.

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