Britain US Marriages in Transition

Avril Clark, left, and Lucy pose for a photograph during an interview at their house in London, Tuesday, June 11, 2024. Avril Clark operates the group Distinction Support, a U.K.-based global online network that helps people whose partner went through or is undergoing a gender transition. Her spouse, a British soccer referee at the time, came out publicly as transgender in 2018, changed her name to Lucy and brought the couple much attention. Avril Clark says that until then, they kept their arrangement private and "lived a double life" for 15 years. (AP Photo/Kin Cheung)

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