Reply To: HRT

Emily Alt

As Evelyn stated, spiro is commonly used with estrogen in the US for trans HRT.  There’s some anecdotal evidence it inhibits breast development.  It also has significant side effects.  I did a ton of research before going on HRT and decided I would avoid spiro if at all possible.  My doc isn’t a fan and that’s one of the reasons I chose her.  I’ve been on EV monotherapy from the start.  E and T levels have been easy to maintain at therapeutic (female) levels.


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