Basically there are two ways:
you look for a good gender therapist, who helps you along the way... if they are not supportive look for another...
they write a letter for an endo/doc for hrt...
you might ask them:
-how they see their role
-how long it usually takes until a letter for hrt
Some of them work on sliding scales, or it might be covered... for example if its connected with emotional issues or depression...
the other route is informed consent, where a clinic/endo has to be found who goes that route...
there you basically sign you are informed about the risks... a short evaluation might be included to make sure you are in a sane emotional state...
well quite a few people say having a therapist might help...
Here are more hints:
https😕/www.susans.org/forums/index.php/topic,188913.msg1680770.html#msg1680770
https😕/www.susans.org/forums/index.php/topic,188309.msg1674885.html#msg1674885
hugs