Do note that monotherapy (usually) requires a form of hrt other than oral pills - usually injections, but some people are able to do it by taking pills sublingually (dissolving under the tongue) or bucally (dissolving between your gums and cheek).
There are other forms of hrt available but personally I favor injections because you don't have to do them as often, and the results are consistent.
If you do end up needing to use an antiandrogen, it's not the end of the world. It's just nice to have one less set of side effects to deal with.

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