Hello Mikka, I do not know what system or constraints your medical provider works under but I can tell you about how mine supports me. My hrt provider is an OBGYN and her stated position and intent is to take care of my medical transition or at least the hrt part. My therapist is in charge of assessing the appropriateness of hrt, my OBGYN is for the administration. She has a fairly wide latitude in dosage levels and adjusts them to levels that keep me safe, and if it is not pushing her safety limits, keeps me happy. Judgement is not on her to do list and this situation works well for both of us. As mentioned by most of the previous posters, communication is key. Let your doctor know what is important to you and make sure that you fully understand why and where they are drawing their limits. Good luck.
Anne