I don't know that there is anyone on this forum who is medically-qualified to know how to treat this issue. There are some things that I think ought to be obvious, however.
There are other forms of body dysphoria. Anorexia, of course, is related, as well as disorders which cause someone to think that certain limbs or other body parts should not be there. I do not know what treatments are commonly used or are considered effective against dysphoria, but I am pretty sure that in no other form of it other than gender dysphoria is it considered a valid or effective treatment to amputate or otherwise damage healthy body parts, because the patient does not want those parts; nor to treat as valid the patient's distorted notion of what his form should be.
If a patient thinks that he should not have a right arm, I do not believe any competent and ethical doctor would recommend amputating that patient's healthy right arm, nor even in validating the patient's belief that that arm should not be there. The arm is, after all, healthy and proper, and is not the problem. The problem is in the brain.
We don't treat anorexics with liposuction, or with treatments aimed at helping them to eat even less.
I see no rational reason why gender dysphoria should be treated any differently. A healthy, properly-formed, functional reproductive system is not the problem in a person with this disorder. The problem is in the patient's head.
I cannot claim to know anything about how to treat such problems in one's head, but I think it is obvious that destroying healthy body parts is not the answer.
