Members of Cyrus’s generation are more likely than their parents to think of gender as nonbinary. A recent survey of a thousand millennials ages 18 to 34 found that half of them think “gender is a spectrum, and some people fall outside conventional categories.” And a healthy subset of that half would consider themselves to be nonbinary, according to the Human Rights Campaign. In 2012 the advocacy group polled 10,000 lesbian, gay, bisexual, and transgender teens ages 13 to 17 and found that 6 percent categorized themselves as “genderfluid,” “androgynous,” or some other term outside the binary box.
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There are also many synthetic sex steroids. Synthetic androgens are often referred to as anabolic steroids . Synthetic estrogens and progestins are used in methods of hormonal contraception . Ethinylestradiol is a semi-synthetic estrogen. Specific compounds that have partial agonist activity for steroid receptors , and therefore act in part like natural steroid hormones, are in use in medical conditions that require treatment with steroid in one cell type, but where systemic effects of the particular steroid in the entire organism are only desirable within certain limits.