@KitlerIs6 this was before "affirmation only care" so it was an exploration of the issue and all options were considered. after about a year of that I decided (w/ therapist approval) that trying HRT and see how it affected me was worth attempting. I was informed of the risks and approximate timeline for irreversible changes. It ultimately improved my mental health. I was able to actually graduate college and complete a successful internship as a result. I did not change my name or start "presenting as a woman" until it got to the point I was being mistaken for one regularly.