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Traditional gender-fluid and third-gender roles have existed long before modern terminology, such as the nádleehi and lhamana in Indigenous North American cultures.

About 9% of LGBTQ adults identify as transgender, including those who are nonbinary, trans men, and trans women. hottest shemale lesbian

The shift toward the LGBTQ+ acronym in the late 20th century unified bisexual, queer, and trans movements to fight for legal rights and social acceptance. Cultural Identity and Diversity including those who are nonbinary