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=== Polygender ===
{{Dist|Polysexuality|Plurisexuality}}
''Polygender'', ''plurigender'' or ''multigender'' is a non-binary identity in which the person experiences multiple genders.<ref>{{Cite web|last=Moreno|first=Nik|date=2016-03-15|title=Polygender: Many Genders in One|url=https://wearyourvoicemag.com/polygender-many-genders-one/|access-date=2020-12-04|website=Wear Your Voice|language=en-US|archive-date=2020-11-14|archive-url=https://web.archive.org/web/20201114000439/https://wearyourvoicemag.com/polygender-many-genders-one/|url-status=dead}}</ref> [[Pangender]], [[bigender]], and [[trigender]] are examples of multi-gender identities,<ref>{{Cite journal|last1=McKinney|first1=Rob|last2=Desposito|first2=Michael|last3=Yoon|first3=Eunhui|date=2020-08-03|title=Promoting Identity Wellness in LGBTGEQIAP+ Adolescents Through Affirmative Therapy|url=https://doi.org/10.1080/15538605.2020.1790464|journal=Journal of LGBTQ Issues in Counseling|volume=14|issue=3|pages=176–190|doi=10.1080/15538605.2020.1790464|s2cid=221142691|issn=1553-8605|url-access=subscription}}</ref> sometimes along with [[androgyne]], associated with [[demigender]].<ref>{{Cite journal|last1=Harrison|first1=Jack|last2=Grant|first2=Jaime|last3=Herman|first3=Jody L.|date=2012-04-01|title=A Gender Not Listed Here: Genderqueers, Gender Rebels, and OtherWise in the National Transgender Discrimination Survey|url=https://escholarship.org/uc/item/2zj46213|journal=LGBTQ Public Policy Journal at the Harvard Kennedy School|language=en|volume=2|issue=1|pages=13|archive-date=April 21, 2023|access-date=June 24, 2023|archive-url=https://web.archive.org/web/20230421175117/https://escholarship.org/uc/item/2zj46213|url-status=live}}</ref>
=== Two-spirit ===
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=== Xenogender ===
'''Xenogender''' encompasses a variety of gender identities that are defined using non-traditional concepts often drawn from natural, inanimate, or abstract sources, representing a departure from the typical human gender binary.<ref>{{Cite book |last1=Beattie |first1=Michael |author2=Penny Lenihan |author3=Robin Dundas |author4=Christiane Sanderson |date=2018 |title=Counselling skills for working with gender diversity and identity |___location=London |publisher=Jessica Kingsley Publishers |isbn=978-1-78450-481-6 |oclc=1028945173}}</ref><ref>{{Cite journal |last=Morin |first=Florentin Félix |date=April 3, 2017 |title=EGO HIPPO: the subject as metaphor |url=https://www.tandfonline.com/doi/full/10.1080/0969725X.2017.1322822 |journal=[[Angelaki]] |volume=22 |issue=2 |pages=87–96 |doi=10.1080/0969725X.2017.1322822 |s2cid=149400086 |issn=0969-725X |access-date=March 6, 2022 |archive-date=March 4, 2022 |archive-url=https://web.archive.org/web/20220304131420/https://www.tandfonline.com/doi/full/10.1080/0969725X.2017.1322822 |url-status=live|url-access=subscription }}</ref> People who identify with a xenogender may not have the words to describe their gender, so instead they compare it to something else.<ref>{{Cite web |last=Nation |first=LGBTQ |date=2022-03-02 |title=What you need to know about xenogender |url=https://www.lgbtqnation.com/2022/03/need-know-xenogender/ |access-date=2024-08-22 |website=LGBTQ Nation |language=en |archive-date=August 1, 2024 |archive-url=https://web.archive.org/web/20240801004706/https://www.lgbtqnation.com/2022/03/need-know-xenogender/ |url-status=live }}</ref>
==History==
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Healthcare professionals are often uninformed about nonbinary people's specific health needs, sometimes requiring nonbinary patients to educate them.<ref>{{Cite journal |last1=Kcomt |first1=Luisa |last2=Gorey |first2=Kevin M. |last3=Barrett |first3=Betty Jo |last4=McCabe |first4=Sean Esteban |date=August 1, 2020 |title=Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments |journal=SSM – Population Health |volume=11 |pages=100608 |doi=10.1016/j.ssmph.2020.100608 |issn=2352-8273 |pmc=7276492 |pmid=32529022}}</ref> Some providers may believe that nonbinary people do not require transition-related treatment,<ref>{{Cite book |last=Vincent |first=Ben |title=Non-Binary Genders: Navigating Communities, Identities, and Healthcare |publisher=[[Policy Press]] |year=2020 |doi=10.56687/9781447351931|isbn=9781447351931 }}</ref> while others may not understand the difference between their identity and the identities of binary transgender patients.<ref>{{Cite journal |last1=Taylor |first1=Jessica |last2=Zalewska |first2=Agnieszka |last3=Gates |first3=Jennifer Joan |last4=Millon |first4=Guy |date=July 3, 2019 |title=An exploration of the lived experiences of non-binary individuals who have presented at a gender identity clinic in the United Kingdom |journal=International Journal of Transgenderism |volume=20 |issue=2–3 |pages=195–204 |doi=10.1080/15532739.2018.1445056 |issn=1553-2739 |pmc=6831017 |pmid=32999606}}</ref> Nonbinary patients report lower rates of respect from healthcare providers than binary transgender people.<ref>{{Cite journal |last1=Kattari |first1=Shanna K. |last2=Bakko |first2=Matthew |last3=Hecht |first3=Hillary K. |last4=Kattari |first4=Leonardo |date=April 1, 2020 |title=Correlations between healthcare provider interactions and mental health among transgender and nonbinary adults |journal=SSM – Population Health |volume=10 |pages=100525 |doi=10.1016/j.ssmph.2019.100525 |issn=2352-8273 |pmc=6909214 |pmid=31872041}}</ref>
Beliefs that affirm the existence of gender/sex diversity are associated negatively with prejudices toward non-binary people.<ref>{{Cite journal| doi = 10.1016/j.copsyc.2022.101499| issn = 2352-250X| volume = 48| pages = 101499| last1 = Schudson| first1 = Zach C.| last2 = Morgenroth| first2 = Thekla| title = Non-binary gender/sex identities| journal = Current Opinion in Psychology| access-date = 2025-06-17| date = 2022-12-01| pmid = 36401906| url = https://www.sciencedirect.com/science/article/pii/S2352250X22002202| quote = Research on gender/sex diversity affirming ontological beliefs has found that they are negatively associated with both implicit and explicit prejudice toward people with androgynous gender expressions, suggesting important links to positive attitudes toward non-binary and gender/sex diverse people.| archive-date = May 6, 2024| archive-url = https://web.archive.org/web/20240506235520/https://www.sciencedirect.com/science/article/pii/S2352250X22002202| url-status = live| doi-access = free}}</ref>
===Transgender health care===
Some nonbinary people desire [[Transgender health care|gender-affirming health care]], including [[Transgender hormone therapy|hormone replacement therapy]] or [[Gender-affirming surgery|surgery]].<ref>{{Cite journal |last1=Beek |first1=Titia F. |last2=Kreukels |first2=Baudewijntje P.C. |last3=Cohen-Kettenis |first3=Peggy T. |last4=Steensma |first4=Thomas D. |date=November 1, 2015 |title=Partial Treatment Requests and Underlying Motives of Applicants for Gender Affirming Interventions |url=https://doi.org/10.1111/jsm.13033 |journal=The Journal of Sexual Medicine |volume=12 |issue=11 |pages=2201–2205 |doi=10.1111/jsm.13033 |pmid=26553507 |issn=1743-6109 |access-date=June 24, 2023 |archive-date=October 1, 2024 |archive-url=https://web.archive.org/web/20241001010219/https://academic.oup.com/jsm/article-abstract/12/11/2201/6980102?redirectedFrom=fulltext |url-status=live |url-access=subscription }}</ref> Others do not,<ref>{{Cite journal |last1=Burgwal |first1=Aisa |last2=Motmans |first2=Joz |date=November 2021 |title=Trans and gender diverse people's experiences and evaluations with general and trans-specific healthcare services: a cross-sectional survey |url=https://www.nature.com/articles/s41443-021-00432-9 |journal=International Journal of Impotence Research |volume=33 |issue=7 |pages=679–686 |doi=10.1038/s41443-021-00432-9 |pmid=33854204 |s2cid=233225133 |issn=1476-5489 |hdl=1854/LU-8704468 |hdl-access=free |access-date=June 24, 2023 |archive-date=June 24, 2023 |archive-url=https://web.archive.org/web/20230624054919/https://www.nature.com/articles/s41443-021-00432-9 |url-status=live }}</ref> and the ratio of those who desire care to those who do not is unclear. The factors that lead to this decision are complex and unique to each person.<ref>{{Cite journal |last=Vincent |first=Ben |date=July 3, 2019 |title=Breaking down barriers and binaries in trans healthcare: the validation of non-binary people |journal=International Journal of Transgenderism |volume=20 |issue=2–3 |pages=132–137 |doi=10.1080/15532739.2018.1534075 |issn=1553-2739 |pmc=6831034 |pmid=32999601}}</ref>
Nonbinary patients seeking gender-affirming care typically begin treatment earlier than binary transgender patients.<ref>{{Cite journal |last1=Kattari |first1=Shanna K. |last2=Atteberry-Ash |first2=Brittanie |last3=Kinney |first3=M. Killian |last4=Walls |first4=N. Eugene |last5=Kattari |first5=Leonardo |date=October 21, 2019 |title=One size does not fit all: differential transgender health experiences |url=https://www.tandfonline.com/doi/full/10.1080/00981389.2019.1677279 |journal=Social Work in Health Care |volume=58 |issue=9 |pages=899–917 |doi=10.1080/00981389.2019.1677279 |pmid=31618117 |s2cid=204757090 |issn=0098-1389 |access-date=June 25, 2023 |archive-date=June 25, 2023 |archive-url=https://web.archive.org/web/20230625040500/https://www.tandfonline.com/doi/full/10.1080/00981389.2019.1677279 |url-status=live |url-access=subscription }}</ref>
===Mental health care===
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