I think Isabelle is right. If she says that, from a Dutch perspective [remember it is one of the most liberal societies, in the world] how much more must it apply to the US.
Also, I do not think putting all your trust in the hands, of a medic, is always for the best. I have ceoliac disease and was diagnosed, at the time I was weaned and nearly died. The trouble was, in those days, british, medical ortodoxy, was that this was a childhood ailment, you grew out of. Some Medics seem to dislike the fact that I have never had a test and I have even been described as self-diagnosed! I will not have a test, as it means being on a diet containing gluten and that will have dire effect on me, to the extent that I am likely to be too ill, to get out of bed, to go & give the blood, for the test!
Remember that the american institute for psychitry asserts that trannsexualism only affects 1 in 60,000. Look at Proffesor Lyn Conways site and you will see that a little rigerous analysis, of the available data, reveals a level of around 1 in 300. So much for trusting medics, in this field. As a transsexual, I ultimately had to put myself, in the hands, of the medics. Fortunately, my GP was very sympathetic, but the local mental health board, twice blocked my access, to a psychiatrist, on the grounds of there being no mental health issues. This is despite the fact that the Welsh NHS protocols clearly state that the first step, in medical treatement, is referral to a psychitrist. I only got there, thanks to a stirling effort, by said GP. If this is what happens with a recognised treatable, medical condition, what hope, for the "middle way" ?
When my transsexuality, finaly, became unbearable, I discovered the predeccesor, of this site and settled on PM as the treatement that was likely to suit me best. I am so glad I did, because, when I sought medical help, I was on the cusp, of having to come out, due to the increasig size , of my boobs. The joy of that has being, that my status, as a trannsexual, has never been questioned; one huge hurdle, comfortably negotiated.
I also wonder what you expect of a medic. Unlike my condition, there is nothing that medical science can offer you, other than help with mental health issues, that may arise, from your condition. If what you need is support, acceptance and the comfort of knowing you are not alone, then seek out local support group. I did that, when my increasing bust line was becoming an issue and I realised that, to stop taking PM, was not on the agenda, Due to my work I had limited access, to the meetings, but it was enough to ease my transition, into living, full time, as a woman. Without that support, I am sure I would have hit a mental crisis. With it I have made friends and my life has been greatly enriched.