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Historically, they have been part of the social fabric, participating in festivals, performances, and beauty pageants specifically for the transgender community. Challenges for Teenagers
Despite a higher level of social visibility compared to some Western cultures, teenagers identifying as ladyboys face unique hurdles:
The term "ladyboy" is widely used in tourism and English-speaking contexts but can sometimes be seen as reductive or offensive outside of its original cultural setting. Many prefer the term kathoey or simply "trans woman".
In many Southeast Asian societies, kathoey are often viewed as a third gender . This visibility means that many teenagers begin their transition early, often during their school years.
Many teens start hormone therapy or adopt feminine dress and grooming while still in secondary school.