Have you read Abigail Shrier's book? She talks about the trans phenomenon amongst teens, mostly girls. But psychologists also talk about how teens with autism are often falling into the "trans" trap. Your comment about your son being autistic leapt out at me for this reason. She speaks to parents who were blindsided by their kids.
Watching some of her videos and have to say I find it utterly fascinating. Not sure if it was on here or on a video of hers by a users comments, in which they state about the lack of parents not being their or least trying to be their 'best friend' and being an actual parent, couldn't agree more. Though rather I dont have kids (dont want to possibly give anyone my health problem (have a few but the bigger one), one being a half chance of passing onto offspring) but is when I really truly appreciate my upbringing with the fact that I try to be as realistic as possible vs what I want haha.
The reality is
@callurdadurinacult is yeah going to be least sometimes difficult saying no, but you're not there really to be their best friend least all the time anyway, like always a yes to your children. Is what my parents did to me, did least sometimes say no to certain things and looking back would have said the same if I were ever to have kids in the same situation as such. As I like to think I turned out as a level headed person in that sense.
Though not sure from the MTF sense but have read some users comments in a video where she talks to Roe Rogan, where someone said they'd either known or heard of a FTM trans girl (or thinks they were trans) having hormones or hormone blockers I think was the latter, where least one of their reproductive organs atrophied, essentially tissue damage and thats a very risky thing (could even potentially be fatal). Like she said in that interview in the US at least (though here in UK I dont know) there's no real oversight of prescribing hormones, is how (like she mentioned) the opiate/opiod problem of over-prescribing them happened (crisis I think its called) where one of the drugs companies pushing oxycontin were sued for lying about its addictive properties.