Here it's similar, but in a way so much worse. In theory, you just need a diagnosis from a psychiatrist and another from a clinical psychologist, then a urological or gynecological visit, and then an endocrinologist can write the prescription after some blood tests. Doesn't sound that bad. 
In practice, there's probably 2 psychiatrists and like 4 psychologists that are recommended for this, everyone else either haven't done this for enough people yet to earn a rec, or is straight up gatekeeping people. And this is in private care, in public there's only one psychiatrist with a one year waiting list. (There's probably 1-2 people for both not in the capital, too, but still.)
I tried a psychiatrist without a rec in July who seemed (maybe even advertised as) lgbt-friendly tell me that "it's just depression, here's some SARI, go on walks, and don't worry, I can't see any femininity in you at all, bye".
Best ~100€ ever spent...