I think these are really good concerns to talk about with the pdoc. A T is not a med expert so can only recommend you see the pdoc. Just be relaxed and honest with the pdoc and see what she/he says. Even if the pdoc recommends meds, they may also list other options. No one can force you to take meds. And if you do start taking meds and don't like the effect, you can stop. You are in the driver's seat. Good luck.