Valerie Hernandez Matias representing Puerto Rico poses in a swimsuit during the 54th Miss International beauty pageant in Tokyo November 11, 2014. Matias won the Miss International title. (Photo by Thomas Peter/Reuters)

The 8th annual Miss International Queen beauty pageant was held in Pattaya in Thailand. The twenty-one contestants from fifteen countries were all born male, so the Miss International Queen 2012 pageant is not an average beauty pageant.

Photo: Panvilas Mongkol, a contestant from Thailand, waits for the start of the final night of Miss International Queen 2012 transgender/transsexual beauty pageant in Pattaya November 2, 2012. Some 21 contestants from 15 countries, all of them born male, compete in the week-long event for the crown of Miss International Queen 2012. (Photo by Damir Sagolj/Reuters)

In this Sunday, September 18, 2016 photo, participants wait on stage ahead of Miss Trans Star International 2016 show celebrated in Barcelona, Spain. (Photo by Emilio Morenatti/AP Photo)

Contestants dance during the Miss Plus Size Carioca beauty pageant on July 8, 2017 in Rio de Janeiro, Brazil. 24 contestants, aged 18-45, competed in the contest which aims to challenge modern inclusive standards of beauty. (Photo by Mario Tama/Getty Images)

In this September 10, 2016 picture, a girl takes pictures of a fellow contestant while warming up backstage before competing in the Romania Miss Pole Dance Contest, ahead of the finals of the Pole Sport&Fitness World Championship 2016 in Bucharest, Romania. (Photo by Vadim Ghirda/AP Photo)

Beauty contestants prepare backstage before the fashion show of Miss Tiffany's Universe 2016 transvestite contest in Bangkok, Thailand, April 20, 2016. (Photo by Athit Perawongmetha/Reuters)

A beauty contestant waits backstage during the final of the annual Miss Tiffany's Universe 2016 transvestite contest in the beach resort town of Pattaya, Thailand, May 13, 2016. (Photo by Athit Perawongmetha/Reuters)

Participants in the Miss Pole Dance South America 2013 competition pose in front of the obelisk in Republica Square in downtown Buenos Aires on November 22, 2013 ahead of the contest to be held on November 23 and 25 in the city. (Photo by Juan Mabromata/AFP Photo)