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Miss Ladyboy, Tranny contest, Philippines
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Miss Ladyboy, Tranny Contest, Philippines

However, when this group of people achieved public attention, they were commonly referred to as transvestites rather than cross-dressers. That led, paradoxically, to yet another usage of transvestism: cross-dressing, male-bodied, male-identified, heterosexual persons. This group typically self-identifies as "cross-dressers".
Echoing the changing history of the term "transvestism", cross-dressing (but not cross-dresser) is now being used to describe the act of wearing clothing of another gender.
When cross-dressing occurs for erotic purposes over a period of at least six months and when it causes significant distress or impairment, the behavior is considered a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders called transvestic fetishism.

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