What is the issue? Not knowing what to expect? It basically works by titration, suggest your dr to measure your hormone levels through a test when he/she is back and that's the starting point, if estrogen is low then your dr will increase the estradiol and if your T is high he will likely increase your spiro (if possible) you can't really know for sure if the dose is right for you from start, everyone starts on what would work on an average person and titrate from there to a personalised regimen.