It is best to follow the lead of how an individual refers to themselves. Many people in the Western LGBTQ+ community find "ladyboy" to be a slur or an outdated trope from the sex industry.
Always use "transgender women" or "transgender youth."
Specifically for a young person or teenager.
If the individual does not identify strictly as a woman. Contextual Usage
If you are looking for a more formal, respectful, or "proper" way to describe this identity, here are better alternatives depending on the context: More Respectful/Formal Terms
The standard and most respectful term for a person assigned male at birth who identifies as a woman.
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