I take a single Spiro tablet in the morning before starting work. I have been doing so for some months. At my second endo blood draw (4 months), my T levels were below CIS female levels. Spiro is an effective medication to reduce significantly, testosterone in your system. Also, consider that E is effective at suppression as well, so when combined with your AA, you will have extremely reduced T levels.
That said, removing the primary organs responsible for T production overall would be the most effective method.