As being an MD myself - think it's a pretty tough argument either way.
I would not want to take on the responsibility of prescribing large doses of estrogens (side effects, risk of clots/strokes, etc) to a male with a gender identity issue. Nor would I write a whole boatload of testosterone to a woman with the same.
I think a little extra testosterone, in a male, wouldn't be so bad --- particularly if it's watched VERY closely with liver function tests and a small mountain of paperwork holding me harmless for the effects. The problem is that I need to have a damn good argument for the FDA / DEA in the case I get audited, and that's always a real possibility regardless of the amount of control's you write.
You might be able to convince a urologist to write it, that would be your best bet, after age 40.
And no, i'm not one of those.
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