A transgender person or person of a third gender assigned male at birth.
A feminine gay man.
A Native (North) American gender-variant, homosexual or bisexual person (especially one belonging to a traditional tribal third-gender, fourth-gender or transgender cultural category that has a ceremonial role).
Pertaining to or being a two-spirit.
Involving two spirits; especially, pertaining to the doctrine of dualism espoused in the so-called Treatise on the Two Spirits in the Dead Sea Scrolls.