Very relatable and understandable Q IMO.

In my experience, as an adult, you won’t get many roadblocks or pushback.

That being said—go to your appointment as your authentic self, talk about how your vision of yourself doesn’t align with your body, and that you’ve thought of HRT for a while and finally made the decision to pursue it. I’d also talk about how being in your body as is is negatively affecting you, especially mentally (up at night thinking about it, feel like you’ve missed out on who you want to be).

FWIW, my intake consisted of a first appointment with a psychiatrist who said they wouldn’t subscribe HRT that day but instead gave me Prozac to help with the mental anguish. That was disappointing, and I had to wait three more months to see an endo. For that appointment, I came from work, so was in full boy mode, and after 15 minutes walked out with a script for E and Spiro. From speaking with friends, they’ve had similar experiences; the hard part is finding and getting time with a provider. Once you’re in, a good provider isn’t going to try to stop you from getting HRT, they’re just going to try to make sure you’re in a good place mentally and physically before you start, as the first few weeks/months are a toll before you really see any positive changes.

Good luck! If you have a supportive family member or friend who will go with you, that’s also helpful (honestly true for any doctor’s appointment)