Hi Mornings,
First off, I would strongly suggest removing medroxyprogesterone acetate, as this is a mildly androgenic progestin, which can have masculinizing effects in some, including stimulation of body hair. It reduces androgens, but at what cost? I would definetly take it out and if u want to replace it with another non-androgenic progestogen, there is bio-identical progesterone (Prometrium, Ultrogestan, Cyclogest, Microgest) or dydrogesterone, a safe progestin (Duphaston).
Second, you have to consider the fact that hair goes thru cycles and that improvement takes time, usually 6mths-1 yr, sometimes 2 yrs. PATIENCE!
Perhaps, you need to increase Premarin to 1.25mg daily or Spiro to 300mg. OR add something new to the mix like:
-bicalutamide 12.5mg daily, or every second day, blocks androgens very effectively
-cyproterone acetate 12.5-25mg daily, blocks and reduces androgens, although weakly androgenic as well
-finasteride, as low as 0.05mg is effective, reduces conversion of testosterone to DHT (by about 67%), the strongest androgen of the 2 (up to 5 X)
Most cost-effective is finasteride and this might be sufficient. Most effective action would be bicalutamide, followed by cyproterone acetate.
Brand names:
bicalutamide: Casodex, Calutide
cyproterone acetate: Androcur, Cyprostat
finasteride: Proscar, Propecia, Finpecia, Fincar
best online place for bicalutamide:
http://www.inhousepharmacy.com/transgen ... dex-t.html
for cyproterone acetate:
http://www.mastersmarketing.com/price_c2.htm (the last 2, bottom of the page)
for finasteride:
http://www.inhousepharmacy.com/transgen ... cia-t.html
http://www.inhousepharmacy.com/transgen ... car-t.html
Best of luck,