You might consider asking her Shanetastic, but then I do favor a direct in approach method in most cases.
But this said, yes I do think a limited HRT trial is probably the most telling thing, but I am not in the minding that it is foolproof. If you are aware of yourself the difference between T and E is quite noticeable however and if it was in doubt it is another data point as it were.
Odds are unless you are explicitly clear the therapist is going to wait until you are. Uncertainty is, after all, NOT a good thing in the context of life altering decisions.
Personally I really did not have any problems with my therapist (Dr.Bushong), and although I was starting to come apart at the seams it was not a huge delay (far more than was necessary but part of the job description of a therapist is to help you help yourself. YOU have to be ready after all, an then of course the therapist has to agree with you

)
Anyway, I suggest making your minding very clear and leaving no doubt. Usually that is good advice anyway
*curtsey*