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While terms like "transsexual" or "transgender" were adopted in medical and social circles during the 20th century to describe gender identity, the adult industry continued to use "shemale" as a fetishistic label.

The Language of Transgender History and Visibility - BackStory shemale logins

Academic resources such as the University of Washington Terminology Guide and GLAAD's Media Reference Guide explicitly list the term as "stigmatizing" or "offensive". While terms like "transsexual" or "transgender" were adopted

Some transgender women enter the adult industry because discrimination in other sectors makes it a "viable career option". For further academic exploration of these themes, you

For further academic exploration of these themes, you may find the following resources helpful:

In rare cases, some psychologists used the term to describe trans women who had transitioned but not undergone genital surgery, though this has largely been rejected as "degrading". Sociological and Ethical Analysis