I think transvestite is a better translation of okama in this context, since it fits with the other comments, although perhaps a synonym would be better?
Don't heat it up already!I said I'm female already.You aren't a transsexual?Can't you accept your defeat like a man?Why do you insist on continuing to talk about it like that!That person from Kazekoshi was pretty strong last year, too.She even skillfully used the other players to keep Touka's devil's luck in check.Male cross-dresser.
AKA, trap.
If slang is preferred.And now male cross-dressing has also been added on; it sure is getting even more intense!They sure are getting along with each other.Aren't you a transvestite?The amount of terms even increased!Don't listen in to our conversations in the waiting room!Like A Man