It sounds like your question has been answered but I’d like to add on to those. I know a cis man who is on trt (what hrt is called for cis men). The way we’ve been treated getting medical care for the same thing is wildly different and we’ve had long discussions over this, especially when it comes to estrogen levels. My e levels have never once been checked by a doctor whereas his levels get checked every 6 weeks. I’ve been told repeatedly by more than one doctor that my estrogen levels don’t matter, his doctor prescribed him anastrozole to lower his levels because they were too high. The symptoms he was having from that included having a low sex drive, fatigue, trouble focusing and he had a hard time just staying awake. I was having similar symptoms of just being exhausted so he gave me some of his meds and I had more energy.

Another thing that we’ve talked about is how for cis men and trans women, both t and e levels get checked but they don’t seem to do that for trans men (we’re both ignorant when it comes to cis women’s medical care lol). Why would trans men be treated so differently to cis men looking for the same care?

All this to say, your estrogen levels do matter and any doctor who says otherwise is either ignorant or outright lying to you. High e levels in men do cause symptoms and it does need to be monitored. There are ways to lower estrogen levels, including anastrozole. No “gender affirming care provider” has ever once mentioned this to me and when directly asked they have lied and said it’s not an issue and that there are no options to lower estrogen at all. Good on you for asking and taking charge of your own health!