Some traditional Diné Native Americans of the Southwestern US acknowledge a spectrum of four genders: feminine woman, masculine woman, feminine man, and masculine man. To Native Hawaiians and Tahitians, Māhū is an intermediate state between man and woman, or a 'person of indeterminate gender'. In cultures with a third or fourth gender, these genders may represent very different things. Most cultures use a gender binary, having two genders ( boys/men and girls/women). The state of personally identifying as, or being identified by society as, a man, a woman, or other, is usually also defined by the individual's gender identity and gender role in the particular culture in which they live. The term third is usually understood to mean 'other', though some anthropologists and sociologists have described fourth and fifth genders.
It is also a social category present in societies that recognize three or more genders. Third gender is a concept in which individuals are categorized, either by themselves or by society, as neither man nor woman.