[3] She had two full-brothers and two full-sisters, and another half-siblings by the second marriages of her parents: From an early age, Ashi Pema Dechen received a traditional education.

She married Bhutan's second king, a cross cousin, Jigme Wangchuck, in 1932, when she was 14 years old.

Ashi Pema Dechen was the half-sister of the maternal grandfather of the current Queen of Bhutan, Jetsun Pema, and she was the great grandmother of the Fifth Druk Gyalpo, Jigme Khesar Namgyel Wangchuck.

Her elder sister, Ashi Phuntsho Choden (1911–2003), was the first wife of her husband since 1923 when she was 12 years old, at Thinley Rabten Palace, Phodrang.

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