I really liked Dr. Katz because I felt that he wasn't pushy and didn't try to upsell us on treatment (he also does the "terrorist fist bump" as a greeting, which I liked). I did decline some of the genetic testing and infertility testing they recommended at the beginning and no one made a big deal of it. However, overall Shady Grove operated like a factory farm, they move you in and move you out and have similar blood work and us monitoring for everyone. I was prescribed progesterone, and took it, even though I have never had any low progesterone issues. That particular med seems pretty easy to get around since it seems like they would have no way of know if you took it or even if you filled the script.
A lesbian couple I know in Baltimore went around and met with a bunch of local providers and gave me their notes-so if you were here I would have more suggestions. Maybe some place like the Whitman-Walker clinic might have some DC specific referrals? I know they are more oriented toward HIV care, but it could be a place to start since they are hooked into all sort so GLBT health issues.