Not just what part of the state, but which metro area is closest? In the middle of nowhere you are really unlikely to find anyone. Even in the cities it is going to be hit or miss.
I've been surprised at the places I've found in the tri-cities. My PCP is currently monitoring my HRT. I started self medicating (with E) about 4 months into the therapy process (I'd been on blockers for a year and a half already), because we weren't sure of a "safe/respectful" endo. After I found my PCP was ok with me being trans, and my therapist said she would be willing to go ahead and write the letter. My PCP found an endo in the same building that SAID he was ok with trans patients, but somehow 3 months passed without a peep from him. I'd made several calls and even showed up at his office, until finally his staff informed me in no uncertain terms that he would call me and go away. Finally on the day I went in for my surgical clearance for FFS my PCP cornered him and asked what was up. He told her that my letter wasn't good enough because the therapist didn't say I understood it was irreversible, not sure why he couldn't just call her or have mentioned that months ago. Never mind the fact that I'd been self medicating AND medicated under her supervision for three months or even that fact I was going to have major trans related surgery in 2 weeks. I need to follow back up with my therapist and make sure she sent the "corrected" letter back in, but I suspect he just doesn't want to deal with me.
