I started off on Andro and boy is it a kick ass AA. I know because I've been on spiro in the past with hardly any results. With andro within a week you knew the dangly bits seen better days. Within like 3 months I had cut myself down to just 1/4 of a pill a day and my T level remained in the basement
Here in the USA andro is declared "unsafe". About the only place it is. Given the politics of the FDA one has to wonder why that is. Sure, like any other drug bad things can happen. Even Tylenol in excess or just over long periods of time can cause sudden liver failure. All you hear is crickets about that.
"In time we should think think about the root cause for the spiro and start thinking about an orchi" said my doc a few months ago. What a kick in the gonads that was

, catching me complete off balance. Sure I waxed on about hating taking pills and prefer injectable E but this!!!
TBH - Major escalations in "Managing" my NB trans paradox sends cold chills up my spine. Sure I thought about it. Yes, I have no need need for them and certainly no future plans for them. I know I need to stay the course I'm on or revert back to that "Thing" I used to be. Having an orchi is the logical thing to do. The only down side is keeping enough scrotal skin for future GCS use.
The devil is in the details