Depends on your culture. The Diné people have four genders (feminine man, masculine man, feminine woman, masculine woman), hijra and fa'afafine are feminine mal

Depends on your culture. The Diné people have four genders (feminine man, masculine man, feminine woman, masculine woman), hijra and fa'afafine are feminine male genders, in Inuit culture a sipiniq is someone who fulfills a man's role with female genitalia. In mesopotamia, mesoamerica, and the Indus valley there were people of unclear sex who fulfilled genders beyond men and women. A neologism from pan indigenous culture is Two Spirit. These concepts have existed for a loooong time, however they were quite rare in western countries. As westerners, we're being exposed to them now, but they are hardly novel on the world stage.