Using Spiro when on BHRT ?

Questions: Thanks in advance ❤️

If you are using BHRT and started Spiro, how did you manage side effects?

Was it difficult to manage your BHRT and hormones when on Spiro? ( so many go to BC because it messes up hormones).

Did it require changing your E and P doses?

Were you also using TRT with it and do it help your hair?

So afraid of fatigue and other sides of Spiro but also it totally making managing my hormones even harder.

Below is a little history. Sorry so long but need help.

I have AGA and have been on oral minoxidil with shedding/ thinning most of the time on it. I have diffuse loss so topical Finasteride is hard to use and I have to cycle it because after 8-10 weeks it gives me crazy bad fatigue and weakness. I wait about 6 weeks and can use again. I have been trying oral pumpkin seed oil but after a few months at 1000mg a day I have bad fatigue… stopped 2-3 weeks and resumed and a week and a half later fatigue started again. Took a week or so off and restarted at 500mg but fatigue creeping back. I am perimenopause but basically one foot toward menopause and am on BHRT because all my hormones tanked when I came off BC a few years back ( I now know it unmasked my AGA 😭).

I have been trying to avoid oral Spiro because my hormones are already not balanced well and I am sensitive to topical finasteride so I can only imagine what Spiro will do based on what I read in here and FB. I have super low T and need to add TRT but have continued hair loss due to my hair follicle being so sensitive to DHT.

So sounds like I have to stop the PSO and painful to back to tying to use topical Fin all over my scalp with long hair unless anyone knows a good schedule to stay on 500mg PSO for maintenance?