Just going to toss this in there:
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I would assume that's the case, especially when you account for the changes to what counts as trans ober the past century. You used to have to lie your ass off to get hormones if you were anything short of perfectly gender conforming and straight. When I started a decade ago there were still people who would deny you hormones for just the wildest shit, like a friend got told she had to wear a dress and makeup to therapist appointments to get approved, and it wasn't like an old person who said that, it was the therapist.
Hell I know people who transitioned in the 90s and back then the question was if you told your friends and family or just moved to a different city and start a new life. So like yeah of course a lot of people would see that and decide that what amounted to treating depression wasn't worth that.
Shit, I fell directly into that category & I still delayed my sex change by 10 years after my first attempt at coming out.
It worked until it didn't. And yes it was hell, I lost years of my life, and wouldn't wish that on anybody. I think about how much I missed every day, but also, younger me wasn't wrong.