HAVANA, CUBA - JUNE 4: Mariela Castro (R), speaks next to her husband Paolo Titolo (L), during the opening of Fatima XXXXXY, a photo exhibit featuring transgender Cubans shot by Italian photographer Paolo Titolo, in the Fabrica de Arte (Art Factory) on June 4, 2014 in Havana, Cuba. Titolo is married to Mariela Castro, daughter of Cuba's president Raul Castro, who is also the head of the Cuban National Center for Sex Education (CENESEX). (Photo by Sven Creutzmann/Mambo Photo/Getty Images)