I wonder about some of the therapist out there who are similar to the one giving you a hard time. Common sense dictates what you have already learned, no need to be on hormones. Seems the only reason someone could possibly find a reason would be similar to male to female which would be crazy to even think this in the first place. I looked at a surgeon's requirements, nothing on hormones, looked at an insurance company requirements, nothing about hormones. The general requirements in a nutshell Single letter of referral from a qualified mental health professionalPersistent, well-documented gender dysphoriaCapacity to make a fully informed decision and to consent for treatmentAge of majority (18 years of age or older)If significant medical or mental health concerns are present, they must be reasonably well controlled.