My understanding is that ADs are increasingly becoming considered not the best "first line" of approach as has, sadly, often been the case in the past to many women's demise. It's a guess only that these could simply mask and dull what are underlying issues; a sticking plaster in some cases? However, it's also my understanding that the Newson.clinic does fully embrace ADs as second line where appropriate, presumably once it becomes clear if first line avenues continue to fail for this particular symptom. What is your testosterone dose, Kathleen? In your shoes, I would prefer to tweak the existing regime rather than introduce something new to add to the "cocktail", but only you can judge what is best for you, informed by your highly skilled practitioner. I imagine it wouldn't do any harm to be in touch with them to let them know how you are feeling? Have a hug, meantime!