Nikki I respect your opinion but I still disagree about the use of HRT until you are certain that need to transition. I agree that HRT can work wonders for dysphoria but not sure at what dose is required for the positive effects to be experienced as opposed to a placebo effect. However, the distress when you are a man with female breasts and the stress of worrying about being discovered has to outweigh the benefits especially if you are dealing with minor dysphoria, that is, dysphoria at a level where you do not feel the need to transition. But I am not an expert in the field, neither a psychologist nor an endocrinologist. I am, however, someone who has found herself in the position where I had to transition. It was not a choice or something I ever had to think about. It really felt like I either do this or I do not know how to get through the rest of my life.