Yeahhhhh... This is a big problem. I have a severe and debilitating phobia of needles and blood, which makes it basically impossible for me to do blood work. This has resulted in every fucking doctor going "oh, cool. Not a problem, here's a month your hormones, we won't need to do any bloodwork any time soon." Then when I make a second appointment to get a refill, or just request a refill, they go "oh hey, time for bloodwork, or you're not getting pills. I know you waited til the last minute because I did explicitly say that it wouldn't be needed for at least a year or two, and you did get that in writing, but I don't care! Bloodwork or no pills, heehee!" Which results in me lapsing on my medication I'll slowly die without having, leaving me to find a new doctor every fuckin' three months or try and fail to not punch a phlebotomist in the face while I have a meltdown panic attack and scream so much they think I'm dying the second they bust out an alcohol wipe. I don't need bloodwork. My levels are fucking fine. They're always fine. Nothing has changed in 3 years.