: Frequent and sometimes excessive use of estrogen supplements without professional medical supervision is common, which can lead to significant long-term health risks. Modern Industry and Identity
: While widely used in Southeast Asian tourism and entertainment, the term can be controversial. In Western contexts, it is sometimes viewed as offensive or fetishistic, whereas, in Thailand, it is often used as a self-identifier within a specific cultural subgroup. Social and Economic Realities extremeladyboy chin
: In Thailand, kathoey have historically been viewed as a sacred or legitimate third gender , with roots in Buddhist teachings on rebirth. : Frequent and sometimes excessive use of estrogen