Nah, that is definitely not always, or even mostly true. That might be true 10-15 years ago, but now if you live in Canada or just walk into a Planned Parenthood, you most likely will get them in the first appointment, and they'll even ask you unprompted if you want to schedule a surgery right after handing you the prescription. There is really no reason for many of them to not go get it at a pharmacy, except tranny madness. I suspect part of it is elaborate self-harm, estrogen from a doctor is not harmful enough, they just HAVE to get contaminated horse piss.