Spironolactone

[Rami]

Spironolactone 

I started on mono estradiol sublingual 10 months back. New doctor is  switching me to the patch.  My doctor also wants to start me on low dose spironolactone. I am older, 67, I know I should not have been on Estradiol. Testosterone is  21ng/nL,down from 240ng/nL when I started HRT last March and 71 ng/nL in September. 

My question, I ask in preparation for my first endocrinologist appointment next week is, why do I need/ should be to taking an anti androgen when I am at my female hormone range goal for testosterone?  Maybe somebody has some insight they can share that will free up time during my appointment for other questions?

Edited January 16, 2021 by VickySGV
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[VickySGV]

Spironolactone is a Diuretic used for treating high blood pressure and other edema problems.  If they noticed leg swelling which happens or your BP was high, it was prescribed for those reasons.  I am Post Op and take it for those reasons for the last 8 years I have been post.  By all means though, ask the doctor directly why they prescribed it.  I know nothing about the T and E numbers really, I leave that in the doctors hands and skill.  (I am 73).

[Carolyn Marie]

1 hour ago, VickySGV said:

  By all means though, ask the doctor directly why they prescribed it.

 

What Vicky said. 

 

Carolyn Marie

[Rami]

I read it on the internet that large doses of spironolactine can interfere with breast development?

[Jani]

5 hours ago, Rami said:

I read it on the internet that large doses of spironolactine can interfere with breast development?

Never heard of that.  Too much testosterone will interfere though.  As your doctor knows you are on estrogen maybe they are looking at the next phase.  Some doctors start Spiro first, some at the same time as E.  Some never at all.  The goal it seems would to get your T down very low.  But these are all things to discuss with your physician.  What is your plan?  Make sure your doctor understands. 

 

 

[Rami]

First appointment with endocrinologist is this week.  Will report back.

[NoCityGurl]

I have been on low dose Spiro for about 2 years. I am on it for two reasons; 1) to try to lower my blood pressure, and 2) to assist with lowering and keeping down my testosterone. I did have some small breast growth. I have found that since I have been on it, I am far more sensitive in my breasts than I have ever been before. Many times it's pleasurable. But there have been many times where it can be tender. Almost like growing pains. But I have been very happy with my decision to start and stay on it. Never any regrets. 

[VickySGV]

22 hours ago, Rami said:

I read it on the internet that large doses of spironolactine can interfere with breast development?

 

You can hear many things on the internet, but so far my neighbor's cats have not pushed everything off the edge of the flat earth.  Please listen to your doctor carefully and do not hold back on questions.

[Rami]

My doctor got back to me stating I did not need spironolactone. She prescribed the spironolactone during our visit and prior to getting the  T results back 21 ng/dL so it appears I will be on mono estradiol weekly patch. I did ask about progesterone which I will discuss under the topic progesterone.

[Charlize]

I am glad you don't need it.  I disliked the side affects of Spiro.  It worked but......

 

Hugs,

 

Charlize

[Astrid]

4 hours ago, Rami said:

so it appears I will be on mono estradiol weekly patch

 

That's good news, but do monitor how well weekly patches stay adhered to your skin.  An option you can ask for is twice-a-week patches, which will be the same dosage but only have to stay on for 3 1/2 days.  I've been much more satisfied with the twice-a-week patches.

 

Cheers,

 

Astrid

[Rami]

Being the practical retired woman on a fixed income, I will be using what the my insurance will pay and save my money for quality affordable  cosmetics, shoes, accessories and clothes when I reach my weight goals.