TRT is not a problem, here is the HRT Guidance Material
Menopause and Hormone Replacement Therapy (Appropriate to all certificate classes)
Applicants suffering symptoms of the menopause should consult their own GP or gynaecological specialist in the first instance, who should give consideration to whether treatment is appropriate or not. A potential side effect and cardiovascular risk review should be addressed as part of treatment option considerations.
Once a treatment and/or follow-up plan is instigated, the applicant should consult with their AME as to whether there are any current or predictable symptoms, particularly mental health and well-being, together with any common side effects of treatment experienced, that might affect the safe exercise of licence privileges. If such symptoms are experienced, and/or while treatment is commenced, a temporary period of grounding may be considered if necessary.