"Are you sure you understand what will happen?"
"Yes."
"Without your medication, you'll start to masculate. You won't be able to pass as a woman any more."
"I'm not a woman."
"If you aren't comfortable with your assigned gender, we could put you on something different to help you pass as a man."
"No. Definitely not."
"Since your parents decided against gender assignment surgery at birth--"
"For which I'm eternally grateful!"
"Without hormones, you won't be able to pass as male or female."
"But I'm not male or female."
"No, but with hormones, you can pass."
"I'd rather be me."