What is concerning is when you hear stories about when their endocrinologists offer them ‘cycles’ for the hormone supply. If this is true, these specialists are driving this misogyny. They are fully complicit in supporting these episodes, in fact of creating these episodes.
I guess once medicos decide that they are going to affirm these male people, there are few ethical boundaries. They are already supplying unnecessary treatments and surgeries. Already feeding in the affirming language and discussion.
Adding another layer by creating unnecessary cycles of unnecesssary, and potentially harmfully long term, drugs is probably not even registering as an ethical quandary at this point.
Plus, when you consider that it was medical doctors who were assuring these male people decades ago that they absolutely were now women and should enter female single sex spaces, I guess the time for them to understand the misogyny of their actions, individually and collectively, has passed.