The intersection of gender identity and sex work creates heightened risks, often described in narratives of "extreme" or coercive experiences:
There is often ambiguity regarding consent in these environments. Individuals may agree to sexual advances due to financial desperation or the promise of payment, even when the situations are coercive. ladyboys in extreme sex
In Thailand and Cambodia, "ladyboys" are often more visible than transgender individuals in the West, yet they face significant systemic challenges: The intersection of gender identity and sex work