(2nd from R) Miss Georgia Betty Cantrell reacts to advancing, en route to victory, at the Miss America Pageant at Boardwalk Hall, in Atlantic City, New Jersey, September 13, 2015. (Photo by Mark Makela/Reuters)

An elephant decorated with a cloth walk in the annual Perahera (street pageant) at Rajamaha viharaya Buddhist temple in Colombo, Sri Lanka September 10, 2016. (Photo by Dinuka Liyanawatte/Reuters)

Miss California Jessa Carmack during swimsuit competition at Miss America 2017 pageant, Sunday, September 11, 2016, in Atlantic City, N.J. (Photo by Noah K. Murray/AP Photo)

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)

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)

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)

A ladyboy sеx worker wears a belt with a dollar sign on it while holding condoms and lube handed to her by Sisters, a transgendered outreach and community services organization in Pattaya, Thailand on August 25, 2016. Many of Thailand's ladyboys live in Pattaya, a large percentage of whom work in the sеx industry there. (Photo by Aaron Joel Santos/Getty Images/Aurora Creative)