To an extent, sure. That’s more about keeping a community alive through a dry spell, though.
Digital communities can easily take years to build, that’s not unusual at all. There’s always lulls in that early period where the community is mostly dead, but there’ll usually be 1-2 people just kinda keeping it on life support. Bones of the Moon has been doing that with our poetry sub for instance, if not for them, that sub would have died-died quite awhile ago. But since they (still, even) post there periodically, it winds up popping up on people’s new or local feeds every once in awhile and reminding everyone it exists, and once in awhile someone else posts there.
That’s the main reason I think people do it. Just kinda getting the community past that early period where most communities die out if left unassisted.
Pretty sure Planned Parenthood has nothing to do with HRT prescriptions. You’d need a psychiatric doctor to prescribe something like that, and he’d probably insist on a pretty thorough examination. And since doctors don’t generally like giving out prescriptions needlessly, he’d probably want to hear about some symptoms of illness first.
Preference alone would be insufficient, just like going to your doctor and insisting you want your stomach stapled for weight loss would be insufficient to get the surgery. He will most likely make you try other, less permanent things first.