I am almost 80 years old, and I am a medical researcher (PhD) and an intersex woman, and still teach a wee bit at a large med school.
Being intersex means for me, my body never made adequate amounts of any sex hormone, and because of this, I take HRT for decades now. These days, all prescribed hormones are bioidentical, and I am still of the opinion that many family doctors have little knowledge about hormones. Men and women have the same hormone receptors, they just need to be stimulated to react to estrogen or testosterone. One does not need any specific medications to remove the metabolized hormones from the body, we have the liver doing this for us.
We all need a certain amount of hormones, including testosterone, to live well and have energy to do our day to day work. The best medical professional who can decide which amounts of hormones would be good for you are endocrinologists. No other medical professional, including myself, has as much knowledge about hormones and our endocrine system as the endocrinologists have. All they other medical professionals can give themselves any fancy name their education in med school was not really geared to the hormone needs of humans.
For me. HRT is a life saver, without it, I would be gone many years ago already! An endocrinologist can analyze your bodies needs and prescribe the right amount and composition of HRT to prevent any DVT or cancer.
Linde