Reply To: HRT


Depending on the doctor, it’s a common approach in the US, but from what I understand, not a lot of the rest of the world, though it does vary. A lot of common thought is that spiro isn’t needed, and actually isn’t good to use. If you need an anti-androgen, there are other options (not all approved for US use). Some folks have seen good results with mono-therapy…just using estradiol. In any case, it seems that even if you are using spiro to start, once your T is suppressed and your E is in therapeutic range, that there is no more need for the spiro, or any other AA.

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