I walked into a doctors office who specialized in the area. I remember one question that I was asked and that was "had I been on hormones before?" and I said, "yes" (actually I had never been on hormones, unless of course you count the couple of times I took my mums birth control pills) and somewhere amongst the conversation with my doctor, I said, "I did not want to go on low doses and start at a normal dose. I was given an injection in my bum and I was given two scripts one was for further injectable hormones and the other was for premarin.
I walked out of the consultation room out the front door and went next door to the pharmacy, got my prescription for premarin filled out walked out of the pharmacy and took my first hormone tablets. So in other words I did not see any therapist, doctor, endocrinologist or psychiatrist to get a letter so that I could get my hormones. In fact I got my hormones the first day I asked for them.
It had been one year since I actually realised that I was a female and in that time I never considered seeing any doctors or therapists or taking any hormones, simply because I did not know the procedure and during that time I never had any doubts, regrets or hesitation on my part leading up to that first appointment with my doctor (who by the way is still one of my main doctors) or after. Doctors, psychiatrists and endocrinologists provided me with the necessary letters and never stood in my way of getting what I wanted and 23 years later, thanks to my surgeon, I'm still extremely happy with my life.
Warmest regards
Sarah B