Getting adequate treatment from a doctor experienced in trans care is a rarity. Most doctors simply don't know how to treat trans patients and tans people suffer as a result. This is mostly because there is not adequate support on transgender care given to doctors, and this, in turn, is driven by falsely low statistics held by governments. I have read that the trans population in the US is 0.3% of the population, so why would such a small group receive funding.
Until the statistics accurately reflect the trans population, and sufficient funding is available to teach doctors, the only answer is to have a central hub of trans specialised medical carers who can advise the broader medical community. An organisation like the Mayo centre could provide this.
Hugs,
Allie