Kia Ora,
Some interesting points have arisen...
I've heard how some trans-women become quite anxious just prior to surgery (not necessarily surgery jitters) their concerns are about having to 'stop' hrt for a certain period of time...Some have said it makes them feel weird -not with it so to speak...
So perhaps there is a connection between hrt and some(again not necessarily all) 'so called' trans-women's mental states...
Food for thought....
Metta Zenda