Becoming a dr of sorts from all the research I'm doing to beat this and I came across a study in which Testosterone (T) was administered to around 300 women. Without going into huge detail, none reported hair loss after the trial and that included some who reported hair loss prior to getting T therapy. The kicker here is that a majority of the women reported increased hair GROWTH on T treatment! Article can be read https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3380548/ Now what am I thinking from this? In my case, I was on low androgen BCP for years and super thick hair. Went off them and went on 50mg Spironolactone for 2 years - again, super thick hair. Added ortho cyclen and boom - triggered this whole mess. My T levels when hair was good was always around 30. With ortho cyclen and Spironolactone 50mg it is around 3 and hair is bad. Hmmmmmm... The only catch to this argument is that when I tried to remedy the situation and stopped the Spironolactone and kept on the ortho cyclen, what went from diffuse all over thinning turned into frontal and top front thinning - which is typical of androgen loss. Now did that happen because it was simply another change in hormones or was it cuz I was protected by the 50 mg Spironolactone? I have since quit ortho cyclen and have been told to take 150 mg Spironolactone. Tried to add Yaz at Drs orders and was nearly suicidal and lost even more hair and lots of weight (which I'm already quite skinny). I'm realizing on any estrogen supplementation / BCP that I get very anxious and headachy and just feel extremely tired. Wondering: could we be applying the "lower T and raise Estrogen" treatment too far and wide to treat what could potentially be the opposite of what some of us need? I had also read that some people that lose hair on Yaz faired better on a progesterone only BCP. This would make sense if they needed additional T to feel better and have their normal hair cycle. Now I am not sure how DHT is impacted by BCP or Spironolactone but I am sure it somehow plays a role. I should also note I do suffer from hormonal acne that was only cleared by taking 100 Spironolactone. I also have somewhat hairy arms and a few stray body hairs on chest and navel area but am not PCOS and I have been tested twice. Any insight is appreciated - would love a conversation on the topic from anyone who could shed some light.