While my private doctor told me I should be making serious efforts to stop smoking, given the increased likelihood of blood clots in combination with long-term hormone treatment, they recognized that withholding treatment from someone with severe gender dysphoria might well make it harder to break a heavy nicotine addiction than it would be if they were in a better emotional state after commencing treatment. The doctor also acknowledged that refusing access to hormonal transition might have a worse overall impact on a trans person’s mental and physical health than allowing them to commence
...more
