Modern medicine.
TG male to female @ Dr's Office
Dr: You have BPH, will need to start meds.
TG: What is BPH?
DR: Enlarged prostate
TG: But I am woman!!
DR: Not today you aren't
TG: Aghhhh, misgendered, will have you canceled
DR: Take your meds, don't take your meds. When you can't pee go see urologist
TG: I am leaving, you don't know how body works!!!
DR: Here is script for meds and referral for psychiatrist, have a day.
Some may think this is fiction but let me tell you a story or two.

bob