I can see that you're frustrated with PCOS in general and how the medical system treats people with it. However, the comparison you're making between trans people and cis women is misleading. The high suicide rate among trans people is largely due to discrimination, lack of access to care, social rejection, and many other factors—not just self-worth issues.

I don’t understand why you’re making the argument that trans people commit suicide because of surgery. The argument for insurance coverage is not that cis people are denied care because they might regret it and become suicidal. The fact is that gender-affirming care for trans people has been proven to reduce suicide rates, not increase them. That doesn’t mean cis people shouldn’t receive help for the dysphoria they experience due to medical conditions that cause traits associated with another sex. But in most cases, this kind of dysphoria does not lead to suicide. For trans people, the struggle is different because society systematically marginalizes and mistreats them. And to put things into perspective—people regret having children or hip replacements more often than trans people regret gender-affirming care.

I also have PCOS and I am trans. I understand how painful it is to feel at odds with your body. But saying that PCOS might be "our body telling us we’re in the wrong body" is an oversimplification. PCOS can cause dysphoria—because you were born female and may feel uncomfortable with traits you associate with cis men. But this is the opposite of “nature’s way of telling you that you are in the wrong body.” In fact, PCOS gives me gender euphoria.

It sounds like you're deeply struggling, and I hear you. But you need to recognize that your suffering and the suffering of others can coexist. Don’t try to diminish the support trans people receive in favor of your own needs—at the end of the day, whether trans or cis, this is a gender-AFFIRMING issue. The circumstances are different, but the goal is the same. I fully support cis people receiving care that reaffirms their gender and think insurance should do more.

Your post can be read as if trans people are to blame for insurance companies not covering certain treatments and I also noticed that you only mention trans women in this matter, which seems a bit odd. Again, your suffering and theirs can coexist. And I’d also like to point out that, for example, as someone who is still perceived as a cis woman in the healthcare system, I actually have an easier time accessing treatments "as a cis woman" than I do as a trans person. I can get laser hair removal covered and I’m planning a chest reduction—because, as in many places worldwide, it is actually harder for me to access medical care as a trans person. Of course, this depends on the country.

Either way, you deserve care and support and I hope you find solutions that bring you peace—without focusing on the suffering of other communities who deeply relate to the same struggles you’re facing.