The thing that's rarely discussed is the effect of testosterone on female bodies. Many transmen are self medicating - which is really dangerous.
They will all have vaginal atrophy, which usually happens after menopause. It's sore, itchy and very uncomfortable, so, those transmen who seek help will get a local oestrogen pessary.
Buck Angel, the front page buff transman nearly died because his vaginal atrophy meant the whole thing sealed up. He was still producing stuff from his cervix, so that got infected, he went septic and nearly died.
There's also an icreased risk of heart disease and the bone health issues.
It's just doesn't seem sensible to swap your long term health for a bit of wispy beard to me.
These people need proper advice, but, the specialist clinicians are thin on the ground (Hardly surprising, who'd want to work in this hot potato of a field with no definitive diagnosis or objectivity? See that GP who was prescribing online and has just been convicted of being a bit silly, forget her name, woman in Wales) and waiting lists are long. So, they are advising each other.
There's going to be a real health crisis in this population in 15 years.
It's really bloody scary.