a not insignificant amount of gatekeeping of transmasculine healthcare is on the basis of keeping perceived "girls" sexually appealing to these same people (see the "irreversible damage" rhetoric, the amount of fearmongering specifically revolving around T and mastectomies on ~healthy breasts, etc)
Following along @mzakharuk.bsky.social's reread of @juliaserano.bsky.social's "Whipping Girl". Barely any cis people understand the rampant rape culture inherent to the medical gatekeeping of trans healthcare. These "professionals" know the power they hold over trans people and often abuse it.