Clara L.<p>I had an ovary-sparing hysterectomy when I was 31 (buncha reasons, not cancer). Now at 36 I have 3 providers telling me I'm showing signs of perimenopause and want me to start on HRT.</p><p>Gyno wants to put me on a Patch for estrogen, and a progesterone pill. She's offering me a choice between Slynd and Prometrium. I'm surprised at the differences between the two and am having a hard time deciding. </p><p>I also have "mild" PCOS that I'm taking Spironolactone to manage. My free T is quite elevated but my total T is on the low end of the range for a cis woman. My gynecologist and endocrinologist can't agree on whether testosterone should be given to a woman with PCOS at this point, or if I should come off Spiro first. </p><p>Any <a href="https://beige.party/tags/perimenopausal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>perimenopausal</span></a> folks here have any insights to offer on Patch+Prog? Bonus if you're also <a href="https://beige.party/tags/PCOS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PCOS</span></a> and perimenopausal?</p>