I am much more sensitive to temperature changes on HRT than before. It is either too hot or cold all the time and I tend to sweat a lot.
I am using Androcur, estrofem/zumenon and finasteride so not connected spiro at least in this case. Also the dosages are sufficient so it is probably not caused by too low/high dosages. I asked the endocrinologist assigned to me by the system but she just told me "I don't know, come back in a year for a checkup".