In New Guinea people with the intersex condition where they start out as a woman, but develop into a boy is considered the “Third Sex”. This condition can be a result of 5-alpha-reducatse deficiency. This is not looked down upon in their culture, and those with this condition can get partial “male” status where they can still have power and notoriety.
Native Americans also have a third sex, but it is not biological. This is when someone, usually a man, believes that they also have a spirit of the opposite sex within them. They believe this spirit allows them take on both gender roles, and can be seen as a blessing from the spirits. In India, certain men can be considered as third sex. They are known as “hijras” and are said to have some