I can witness on my body: free androgens are a cause of dysphoria. But in my case, when I was pre-op,
Spiro didn't do anything for that, I needed to start CPA. Now also that I'm post op since 12 years they
changed my HRT, some residual T (adrenal I think) kicked in again, and I started feeling dysphoric again.
Simply doctors won't believe such things because they don't experience them, period.