My idea of a gender affirmation for a potential child tranny is a trip to the psychiatrist to explain to them why they’re broken and to treat them. Some might call this conversion therapy but its actually affirmation therapy.
The fact the scumbags feel the NEED to hide this stuff tells you all you need to know about it.
The first trip should be to the Endocrinologist to see if they don’t have an endocrine disorder throwing off their hormones. Run the initial labs but also demand an ACTH stimulation test. They should also be checked for PCOS or possible tumors on their adrenal glands.
If everything comes back clear, then bring them to a psychiatrist. What’s happening is mental, not medical, and they are not trans.