@tillymack To clarify, I should add that lack of experience refers to lack of experience on the part of the endocrinologist in managing HRT issues.

@tillymack
Estrogen isn’t approved for osteoporosis treatment, so an endocrinologist should decide whether HRT is appropriate based on your bone status and overall health. You can always get a second opinion if unsure.

Risk assessment is best handled by specialists like cardiologists or OBGYNs. In the end, it’s a shared decision between you and your care team, balancing bone protection, overall health, and personal preferences.