Testosterone is typically justified as a treatment for “gender dysphoria,” but the endocrinologists who administer it rarely seem even to be evaluating its progress with the patient’s dysphoria. What they examine instead are blood levels to ensure that testosterone stays within normal range for a man. This seems to place endocrinologists (and just as often, nurse practitioners) in the position of hair stylists, who aim to satisfy, rather than medical professionals who seek to cure.

