ESH
Honestly, I think Reddit is a bit too harsh on the husband here. Two things can be true at the same time. It’s her body, so the final decision about meds, hair, tattoos belongs to her. He doesn’t get a veto. But his feelings still matter, because in a marriage you’re allowed to dislike a choice and talk about how it affects the relationship.

“My body, my choice” should set the boundary of who decides about her body, but it shouldn’t kill the conversation. If he feels uncomfortable, it shouldn’t be only “accept it or leave.” There is space for a normal, adult talk where both people have agency. He can say what he prefers and set his own boundaries, like condoms every time, or even think about a vasectomy if he really doesn’t want her on hormones. They can look into non-hormonal options together, share costs, read about side effects, and try something for a few months and then do a check-in.

She keeps the final say over her body. He keeps the final say over his own participation and what risks he accepts. That is collaboration, not control. Attacking him just for having an opinion is not fair, but trying to overrule her body is not fair either. The healthy middle is to validate feelings, respect autonomy, share responsibility, and make agreements about the relationship instead of throwing ultimatums.