There were many transsexuals before me, but I’ve asked questions with my doctor where they would say they didn’t know because there just aren’t that many people who’ve been of hormones that long.

I think your doctor and the medical community in general are being disingenuous. Coz your observation that "there were many transsexuals before" you is true. Or at least it's true when it comes to male transsexuals.

Lots of males going back to the 1960s and 70s have "transitioned" by taking CSHs, T blockers & getting various kinds of surgeries. Their health over the intervening decades could easily have been tracked and studied by medical professionals. If it had been, then today in 2021 there would be a wealth of well-documented medical evidence to draw on to guide males of younger generations like you about the efficacy and health drawbacks of the various "gender confirming treatments" being so widely prescribed today.

But there is no documented body of evidence because earlier generations of male transsexuals did not want their medical histories to be tracked & studied. Surprisingly - or perhaps predictably? - the male doctors who treated earlier generations of male transsexuals also had little to zero interest in tracking the health histories and outcomes of their male patients to gauge the longterm efficacy - and downsides - of the hormone treatments they prescribed, the surgeries they performed and the lifestyle changes they recommended.

I've often found it decidedly odd that prominent early male transsexuals like Jan Morris, who died last year at 94, and Renee Richards, who is now 86, publicly pushed for males like themselves be able to use female spaces, participate in women's sports, and benefit from programs meant for women, yet they and other male transsexuals of their same age and era never advocated that their own physical health and the health of male transsexuals as a group be monitored and studied so that information could be gathered to help out the generations of male transsexuals who would follow them.

I've always found older male transsexuals' reluctance to be studied and their lack of concern for those of their sex who would follow in their footsteps to be quite telling - and not in a way that is to their credit. In fact, it seems to reveal that despite all the CSH and surgeries, at heart they remained decidedly male and incredibly self-centered in their outlook.

This becomes glaringly apparent when you contrast their unwillingness to participate in research for the benefit of future generations with the way that masses of women of their same era clamored for - and volunteered en masse for - research into the impact on women's health of once-standard medical interventions like DES in pregnancy, the use of high-dose hormonal BC pills that were common in the 60s & 70s, copper IUDs, HRT for menopause, radical mastectomy for breast cancer, annual Pap smears for cervical cancer, annual mammograms for breast cancer across age groups, various forms of anesthesia in labor & childbirth, use of forceps in childbirth and many, many other practices.

One of the peculiar - and to me, unfair - results of this decided lack of symmetry is that since the preliminary results of the big US research study known as the Women's Health Initiative were published in 2002, it has become impossible or extremely difficult for the majority of female patients going through menopause in the Western world to get prescriptions for estrogen replacement therapy - and those few who do get prescriptions only get them for very low dose estrogen and for very brief periods of time. Similarly, women well past menopause who develop serious medical issues caused by low or no estrogen - like painful vaginal atrophy, low bone density/frequent fractures, chronic UTIs, urinary incontinence, balding, memory problems - are pretty much plain out of luck nowadays, as it's widely believed by GPs, gynecologists, gerontologists, urologists and even many endocrinologists that prescribing estrogen to female people past a certain age is too dangerous to be worth all the proven and widely-recognized benefits. Yet at the same time, any male person - whether age 18 or 80 - who wants to take estrogen today to "confirm" and "affirm" his opposite-sex gender identity, even when it's clearly just an expression of the sexual fetishism of autogynephilia, can easily get estrogen prescribed on demand - and in extremely high doses too.