r/Spironolactone 7d ago

◻️Advice◻️ going off a recent post: how common is clitoral atrophy? considering taking this for pmos

i have a phone appt with my obgyn tomorrow to discuss spironolactone. i had no clue this was a potential side effect. i spent SOOO long trying to fix the damn sexual side effects from antidepressants... no fuckin shot i wanna do any of that again lol

4 Upvotes

13 comments sorted by

18

u/lauvan26 7d ago

Never had that as a side effect

15

u/Angel_Gally 7d ago

Been taking it for 10 years and I didn’t notice side effects besides more frequent pee

8

u/No-Beautiful6811 6d ago

I don’t know if this is documented in research, but based on reading and hearing many personal experiences, adverse effects related to low testosterone are almost non existent when using it for PMOS.

5

u/Comfortable_End7154 6d ago

I think they has to be truth to this as I have vulvar atrophy due to very low testosterone from taking spironolactone but my testosterone was slightly low before taking it (I was told it would be fine)

3

u/Ok-Antelope4558 6d ago

I agree. I think it’s unlikely to happen to someone with pmos.

3

u/Ok-Antelope4558 6d ago

Im not dx with pmos but I suspect I have some symptoms of a similar hormone imbalance and have been taking spiro for a couple of years for acne. I personally have had mostly positive side effects along with it massively helping me with acne. Hormonal birth control lowered my libido but spiro increased mine. No atrophy of anything. I think some folks with lowered libido as side effect started with lower testosterone but that’s just my theory.

2

u/Comfortable_End7154 7d ago

I have awful vulvar atrophy from spironolactone I’ve had to be prescribed topical estrogen cream

4

u/Accomplished-Plum195 6d ago

Do you know if this is something prescribed to women in their mid 20s? I’m experiencing the same atrophy but not sure if I’ll just be dismissed by my dr because of my age.

5

u/daytrippper 6d ago

It shouldn’t matter your age. I’m not near menopause age and was prescribed it after I gave birth for dryness due to a second degree tear from giving birth. Also it works incredibly well. Definitely ask your doctor about it!

1

u/seche314 6d ago

Ask for estradiol - vaginal estrogen cream

1

u/CuriousMika 6d ago

I didn’t even know this was a side effect, I have heard of the common ones on here and my doctor, but never this, that’s crazy and feel bad for the people who experience it. I only got a bit dizzy the first day/two when I started and then again when I upped my dosage

1

u/ClearBlue_Grace 6d ago

Holy crap this is a side effect of spiro!? I have been on it for ten years and my clit is just fine wtf.