Aman, a 22-year-old transgender man from the eastern Pakistani city of Lahore, says he was always close to his father. When he was little and it was cold out, his father held his hands to warm them. When he was at university, his father would wait until he got home to eat dinner together, regardless of how late it was.

Now they are cut off. Aman’s decision to live as a man has cost him everything. His parents and five siblings no longer speak to him. He dropped out of university and had to leave home. He has attempted suicide three times.

Trans men face deep isolation in Pakistan. The country, with a conservative Muslim majority, has entrenched beliefs on gender and sexuality, so trans people are often considered outcasts. But trans women have a degree of toleration because of cultural traditions. Trans women in public office, on news programs, in TV shows and films, even on the catwalk, have raised awareness about a marginalized and misunderstood community.

The Pakistani movie and Oscar contender “Joyland” caused an uproar last year for its depiction of a relationship between a married man and a trans woman, but it also shone a spotlight on the country’s transgender community.