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Biology determines whether a human's chromosomal and anatomical sex is male, female, or one of the uncommon variations on this sexual dimorphism that can create a degree of ambiguity known as intersex.

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I am relieved that I'm finally able to break the silence...Sell also discovered similarities between the third genders of the East and those of the West.Nearly half of those interviewed were healers or in the medical profession.The hijras, of India, are one of the most recognized and socially accepted groups of third genders.

This may be a result of the notion of reincarnation, which reduces not only gender categorization but also sex and species, allowing for more fluid and mutable categorization.

In Peletz' book, "Gender, Sexuality, and Body Politics in Modern Asia", he describes: For our purposes, the term "gender" designates the cultural categories, symbols, meanings, practices, and institutionalized arrangements bearing on at least five sets of phenomena: (1) females and femininity; (2) males and masculinity; (3) Androgynes, who are partly male and partly female in appearance or of indeterminate sex/gender, as well as intersexed individuals, also known as hermaphrodites, who to one or another degree may have both male and female sexual organs or characteristics; (4) the transgendered, who engage in practices that transgress or transcend normative boundaries and are thus by definition "transgressively gendered"; and (5) neutered or unsexed/ungendered individuals such as eunuchs.

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