The doctor is a female.
Oops - mea culpa on my assumption
And that doctor does HRT for a living so she deals with a large number of women in their mid forties to mid fifties. So the testosterone issue must come up fairly often.
I'm not so sure - I've had lots and lots about this via my MIL and SIL who both had hysterectomies (MIL post-menopausal, SIL very young), and there has never, ever been any discussion of prescribing testosterone, merely oestrogen and / or oestrogen precursors.
Not sure why the Doc was so indiferrent to prescribing the T.
Maybe the idea of having / maintaining an active sex life is just something the doctor doesn't consider as a "normal" request, compared with (say) managing menopausal symptoms? Who can say. However, I suspect that had your wife not mentioned testosterone therapy, the doctor wouldn't have brought it up.
Was the doctor as forthright about the risks associated with oestrogen replacement, as she was with testosterone?