I also assume you are in a remote area, given that you have 4,000+ acres of land. So your doc options are limited. Have you tried calling compounding pharmacies in the area to see what docs prescribe Test Cyp, compounded AI, etc. This may help. Quite frankly, endos tend to be difficult for TRT since they shoot for hormone levels "within" range and not optimal levels. Some have had better experience with a urologist. I have a friend that swears by her urologist, but that is probably because she can get him to write any hormone prescription she wants, including Test Gel for a woman!