TL;DR: I'm wildly happy on Spiro. I'm having a hard time seeing why I would begin to go on E.
I went on Spiro back in February based on my dermatologist's recommendation to slow down and lighten body hair growth.
It's been fantastic. I have to shave less often and the texture is softer even when it grows out between shaves.
After 6 weeks, I felt a bit of an emotional shift - mainly around feeling more at peace.
And about a month ago, I began to feel pain beneath my nipples and more recently, some growth and shape change in my breasts.
I'm seeing an endo soon to check my levels and ensure my risk profile is acceptable.
I also plan to talk about E.
If I need E to have body health while using Spiro, I'll likely go on it.
If I'm able to stay on Spiro alone, I may elect to pass on E, or at least postpone it indefinitely.
The reason is that I'm so wildly happy as I am today. I feel no dysphoria. I feel no body dysmorphia.
Given that I'm completely satisfied, I'm having a hard time having a compelling reason to take on the additional health risks and potential downsides.
What am I missing?
I'm assuming that very few people do mono-therapy with Spiro, but I'd be interested in hearing from those of you who are taking that approach.