Informed consent is far better than the subjective interpretations of doctors. No trans person should have to justify surgery and hrt by proving we have dysphoria or anything else, at most we should have to show we aren’t currently psychotic.
Also, the risks of HRT are overblown. Doctors frequently cite old studies on non bioidentical estrogens and studies where progestogens were also used. They also still prefer blockers rather than monotherapy when mono is far safer, and often choose cheap blockers over safer ones.
How gatekeepy :/
Informed consent is far better than the subjective interpretations of doctors. No trans person should have to justify surgery and hrt by proving we have dysphoria or anything else, at most we should have to show we aren’t currently psychotic.
Also, the risks of HRT are overblown. Doctors frequently cite old studies on non bioidentical estrogens and studies where progestogens were also used. They also still prefer blockers rather than monotherapy when mono is far safer, and often choose cheap blockers over safer ones.