A contestant prepares backstage before the final show of the Miss International Queen 2018 transgender beauty pageant in Pattaya, Thailand March 9, 2018. Twenty-seven international contestants are participating in the annual beauty contest for transgender women which aims to promote the tourism industry in the resort city of Pattaya and create a positive image of transgender people. (Photo by Soe Zeya Tun/Reuters)

Kanwara Kaewjin of Thailand prepares backstage during the final show of the Miss International Queen 2019 transgender beauty pageant in Pattaya, Thailand on March 8, 2019. (Photo by Jorge Silva/Reuters)

Contestants prepare to go on stage during the Miss International Queen 2015 transgender/transsexual beauty pageant in Pattaya, Thailand, November 6, 2015. Some 27 contestants from 17 countries, all born male, are competing in the week-long event for the crown of Miss International Queen. (Photo by Athit Perawongmetha/Reuters)

A scorpion crawls out of the mouth of Thailand's Scorpion Queen and Ripley's Ambassador Kanchana Kaetkaew (also spelled Kanjana Ketkaew), at the Ripley's Believe it or Not museum in Pattaya city, Chonburi province, Thailand, 03 June 2017. (Photo by Diego Azubel/EPA)

Rio Takahashi of Japan gets ready for the final show of the Miss International Queen 2020 transgender beauty pageant in Pattaya, Thailand on March 7, 2020. (Photo by Soe Zeya Tun/Reuters)

Isabella Santiago of Venezuela (C) is kissed by runner-ups after she was crowned Miss International Queen 2014 at the transgender/transsexual beauty pageant in Pattaya November 7, 2014. Some 22 contestants from 18 countries, all born male, competed in the week-long event for the crown of Miss International Queen. (Photo by Athit Perawongmetha/Reuters)

Muay Thai boxer Nong Rose Baan Charoensuk, who is transgender, trains at a gym in Buriram province, Thailand, July 3, 2017. Born Somros Polchareon, Rose said she identified as a woman at an early age and began wearing makeup and a sports bra in the ring.(Photo by Athit Perawongmetha/Reuters)

Britain's Queen Elizabeth boards a train at Kings Cross station in London, in this December 17, 2009 file photo. Queen Elizabeth celebrates her 90th birthday on April 21, 2016. (Photo by Stefan Rousseau/Reuters)