Out of curiosity, and please don't attack me, would therapy possibly have created a similar outcome?

The vast majority of Trans folks that have pursued gender-affirming care have undergone years of therapy to get there. Your medical team (including your therapist) has to clear you for gender-affirming care. Some folks can combat their gender dysphoria and related depression with a combination of affirming therapy and self-expression, but this is uncommon.

Just try to keep in mind that everybody's different, A way is not THE way, and that gender-affirming care saves lives.