Hi @annie208 you might have read the thread "HRT safety" on this forum. If not, here is the link:
https://connect.mayoclinic.org/discussion/hrt-safety/
The thinking is changing with HRT use for those of us who are more than 10 years past menopause. Basically the risk vs reward is assessed at individual level. If a sizable medical center or an university hospital setting is nearby, the doctors there are more likely practicing with updated information. I'm a tad younger than you and it took me about 6mo to get fully evaluated - mainly cvd risks and breast cancer risk. I didn't encounter noticable reluctance.

I think your situation especially the fracture calls for a good discussion with your endo to figure out whether or not it's "fragility fracture". This will have an impact on you Frax score hence the "aggressiveness" of treatment for the next ~30 years. Personally I felt long term maintainence after the initial anabolic therapy is a lot more daunting in the absence of sufficient information and tools.