Miss Ladyboy, Tranny Contest, Philippines

This group did — and sometimes still does — distance themselves strictly from both gay men and transsexuals, and usually also deny any fetishistic intentions. It was probably this development that led to the explicit definition of transvestic fetishism as distinctively different from transvestism.
However, when this group of people achieved public attention, they were commonly referred to as transvestites rather than cross-dressers. That led, paradoxically, to yet another usage of transvestism: cross-dressing, male-bodied, male-identified, heterosexual persons. This group typically self-identifies as "cross-dressers".
Echoing the changing history of the term "transvestism", cross-dressing (but not cross-dresser) is now being used to describe the act of wearing clothing of another gender.
When cross-dressing occurs for erotic purposes over a period of at least six months and when it causes significant distress or impairment, the behavior is considered a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders called transvestic fetishism.