Interesting Benjamin Boyce interview with James/Lisa Shupe discussing the difficulties of accessing medical care for autogynephilia.
Shupe talks about their (quite significant) struggle with autogynephilia and coming to terms with the idea that they are not and would never be female, and the difficulties of getting the treatment that they needed once they told doctors that they didn't "identify" as a woman. Shupe says that they have been forced to lie and say that they identify as female to get appropriate medical care.