Honestly, I've always had an idea that people of question should try Anti-Androgen therapy first. It slows down balding and skin diseases, and if you're young enough, it slows down secondary sex traits - worst case scenario you might just look more attractive and less haggard than other males or females around you. The only downside is it seems as though it can make you infertile after awhile, with less ejaculation, but you know... downsides to everything.
Appearantly Michael Jackson took Anti-Androgens in his late teen years, after suffering horrible acne, balding, and oil production, and right after, he started looking like a sexy model (before his horrible surgeries.) Many male or females actually produce very low amounts of secondary sex Androgens anyway (the ones who don't have pituitary tumors, brain trauma, or Neanderthal-related [proven topic] genetics), and if your natal production is too high, it's actually a health risk, so Anti-Androgens can, depending on the type and dose, be healthier for you anyway. Something like that.
However, it is why things need to be sorted out in your head. HRT is like Plastic Surgery or anything else, you need to be sure that the choice adds up for every single thing in your life and will create positive reactions in everything you want it to, and that any negative reactions the choice may cause are things you don't care about. For example with me, I want a bit of FFS - the positives I want are that I want people to think I'm more physically beautiful and natally female, and the negatives that I don't give a dang about is if someone accuses me of being fake or sinful. Works out.