Reigning Miss Universe Pia Wurtzbach,second from right, watches beauty contestants during a media presentation at suburban Quezon city northeast of Manila, Philippines, Tuesday, March 29, 2016. Forty beauty hopefuls are vying for the coveted title that would represent the Philippines in the Miss Universe beauty pageant. (Photo by Bullit Marquez/AP Photo)

Inmates are seen at the transgender gallery in La Joya prison on the outskirts of Panama City, Panama February 3, 2016. Inmates of La Joya prison on the outskirts of Panama City are housed in makeshift cells amid heavy overcrowding, living in grimy conditions and with limited medical attention. Many prisoners in the Central American nation languish for years without being sentenced. (Photo by Carlos Jasso/Reuters)

A Filipino transgender woman holds a huge red ribbon symbolizing fight against the HIV virus as she poses before photographers, during a World Aids Day celebration in Manila, Philippines, December 1, 2015. (Photo by Erik De Castro/Reuters)

Revelers jump on a rainbow painted crosswalk in Church Street, Toronto's LGBT neighbourhood, before “WorldPride”, a gay pride parade, in Toronto, June 29, 2014. Toronto is hosting WorldPride, a week-long event that celebrates the lesbian, gay, bisexual and transgender (LGBT) community. (Photo by Mark Blinch/Reuters)

Miss USA 2012 Nana Meriwether crowns Miss Connecticut USA Erin Brady the new Miss USA during the 2013 Miss USA pageant at PH Live at Planet Hollywood Resort & Casino on June 16, 2013 in Las Vegas, Nevada. (Photo by Ethan Miller)

(L-R) Miss Universe 2015 Pia Wurtzbach, Miss USA 2015 Olivia Jordan and Miss Teen USA 2015 Katherine Haik attend the 2016 Miss USA pageant at T-Mobile Arena on June 5, 2016 in Las Vegas, Nevada. (Photo by Ethan Miller/Getty Images)

Miss Hawaii Allison Chu waves to the crowd as she holds one of her shoes during the 2017 Miss America pageant “Show Us Your Shoes” parade Saturday, September 10, 2016, in Atlantic City. (Photo by Chris Szagola/AP Photo)

Activists participate in the Walk of Lesbian and Bisexual Women in Paulista Avenue, SP. The act was organized by the LGBT (lesbian, gay, bisexual and transgender) in São Paulo, Brazil, on June 2, 2018. (Photo by Cris Faga/NurPhoto via Getty Images)