I would refuse treatment after 3 years anyway. After then my youth is gone as you'd have you add another 3 years for feminization to work. So what I need seemingly is the diagnosis of gender dysphoria from a private clinic/therapist that the NHS will recognise. Then I can get the monitoring without having to pay private doctors. At least I think that's how it works - I'll ask on the 12th. Beyond a certain age, HRT is probably just going to give me an A cup chest, slight fat redistribution on the hips, and a slightly rounder face. Big whoop. Worth the health risks and inconvenience of having to take drugs for life? I doubt it. No, after that wait I'd tell them where they can shove their gender therapy. If I can survive that long, what do I need them for?