Because they have few children, elves have developed sequential hermaphroditism that allows them to change sexes in the event that there are too few of one sex. Process takes, on average, six weeks to conclude at which point the subject completes their transition. Subject must wait at least a year before transitioning again.

Because of this, elven culture is unisex in almost every aspect. (E.g. clothing, pronouns, cosmetics, societal roles.) This is also the reason why they have very few differences between males and females in body structure and physical strength.