[SarahSchilling]

I strongly suggest you check out the experiences and information available on the DIYHormones group on Yahoo.com. Hundreds if not thousands of TG women on that site will tell you to have patience, skip the spiro and let estradiol work it's magic. Like PM, estradiol has antiandrogenic effects, but they take time to manifest. Spiro is NOT needed since better and safer forms of estrogen are now available to TG women.

I agree with the rest of your post, but I've been a member of DIYhormones for quite some time, and its not "hundreds if not thousands of TG women" saying that an AA is unnecessary, it's one extremely self confident TG and a small group of her followers. Most of the members of that group use an AA, at least for the first few months of HRT.

That being said, I'll go with just a DHT blocker and E myself after six months probably. It seems like as is the case with hormones in general, age is the deciding factor as to what program is needed to provide results. I'm sure that people who are older don't need an AA.

Edit: Just to be clear, I don't like spiro either. Give me androcur anyday! LOL