I’d guess it was a transexual prostitute. People who live lives outside polite society sometimes don’t end well. Actually make that almost never end well.
In our out of polite society, life has a strong tendency to end with death. If there is some positive meaning in life, there has to be more to the story. And can we really see the whole story with someone who is outside polite society? Can we really know what struggles they have inside that we don't face but God knows of?