God, I fucking wish she still took PayPal. The anime meme seller is only accepting crypto as of last spring/summer. It sucks, too, because her wallet is banned from CoinBase, so you have to use Binance to do the transfer, but Binance doesn't let you buy crypto with actual money. So it turns into this whole mess of having to by BTC via another service, wait for the holding period to expire, transfer it to Binance (and pay all the damn transaction fees, which really add up), and then pay from that crypto wallet. And yes, value often fluctuates wildly during that holding period, so you have to account for that along with the transfer fees.

It's really on-brand that the FTC slapped together a couple of ineffectual milquetoast crypto reforms (the waiting period and the Binance restrictions) and about the only ones being hurt are trans people.

If you just want oral or patches (or T-blockers), there's a Turkish pharma site listed on HRT [dot] coffee (note: the one whose fucking SSL cert isn't expired) that has worked for me in the past. Customs processing can take upwards of a fucking month, and the stuff is priced a little higher than average, but their payment processor takes regular credit or debit. Note: their payment process is sketchy as hell because it's through a third-party site and they send you the link a day or two after you make the purchase. There is absolutely some kind of obfuscation going on there, and if you have a credit card that lets you provide a virtual card number, I'd recommend doing that with an expiration period set on it just to be on the safe side. Again, though, I've ordered from them a couple of times and it has been fine other than the long customs delay and the lack of injectables. (Otokonoko still has the cheapest injectables beside OELabs, even with crypto fuckery factored in.)

you make an account on an exchange, buy btc, then send it to the address the seller gives you for the order. buying btc can take awhile and the exchange will only let you buy a few hundred dollars worth in a day because of money laundering rules. they want you to send btc because payment processors won't let them stay merchants due to the whole selling drugs thing. iirc coinbase will let you use a credit/debit cards after an id check (obligatory reminder not to use crypto for anything genuinely illegal because it's not anonymous - estrogen is luckily gray market).

dragon ordnance accepts Wise, a popular and legit cash transfer app, last time i ordered