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Academic resources such as the University of Washington Terminology Guide and GLAAD's Media Reference Guide explicitly list the term as "stigmatizing" or "offensive".

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 shemale logins

The use of such labels in digital spaces can contribute to "internalized transphobia" and mental health issues among transgender individuals. It also impacts how cisgender men perceive and interact with trans women, sometimes leading to harassment or violence. Industry Dynamics Academic resources such as the University of Washington