The department did not identify the passport recipient, but Dana Zzyym of Fort Collins, Colorado, told The Associated Press in a telephone interview it was their passport. Zzyym, who prefers a gender-neutral pronoun, has been in a legal battle with the government since 2015 over a passport.

Zzyym (pronounced Zimm) said the fight for the passport with an accurate gender designation was a way to help the next generation of intersex people win recognition as full citizens with rights.

"I'm not a problem. I'm a human being. That's the point," Zzyym said.

The U.S. special diplomatic envoy for LGBTQ rights, Jessica Stern, said the decision brings the government documents in line with the "lived reality" that there is a wider spectrum of human sex characteristics than is reflected in the previous two designations.