I’ve been on gender affirming care for a year with very, very minimal care from a local women’s health clinic. iirc I started DIY injections and scheduled my first doctor’s appointment in the same week, and was put on a 6 month waiting list for the latter. Then I got a blood test during the initial assessment but the doctor didn’t analyze it for another 4 months.

In my state (in the US), it seems like you either do it all alone or accept a glacial response time. For anecdotal evidence, I had B cup boobs before I got my first prescription, and it’s still an incorrect one.