Many transgendered women are offended by this categorization and call themselves T-girls or trans." In addition to its use in pornography, the term has been used as a punch line or for rhetorical effect.

As part of the 42nd Street Art Project in 1994, designer Adelle Lutz turned a former shop in Times Square called American Male into "American She-Male", with brightly colored mannequins and clothes made of condoms.

The Apatow men hit the screen anatomically intact: they’re emasculated but not castrated, as the repeated images of the flopping genitals in Forgetting Sarah Marshall remind you." The word came under extreme criticism when it was used during episode four of Ru Paul's Drag Race Season 6.

Logo TV, the show's broadcast station, released a statement on April 14, 2014 saying: "We wanted to thank the community for sharing their concerns around a recent segment and the use of the term 'she-mail' on Drag Race.

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