The NHS has a clear and published pathway for those looking for a full medical transition that includes a requirement of HRT for 12 months (where practical), RLE for 12 months, and any other identified mental health issues either resolved or in a well managed state. I think they prefer the client is in a stable social and financial positition with a support network in place.
These all help maximise the chance of success of the transition, minimise the chance of any regret, and in their experience, give the best overall outcome.
If you feel they are unreasonably holding back your transition, you are fully entitled to request an explanation for this. The PALS (patient advice liason service) can assist you with this. X
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