High levels of androgens

Spironlactone isn't too widely used any more. Have to keep a close eye on your potassium if you're taking it.

Get your labs checked to make sure there's not an underlying problem, and talk about the bioidenticals first. Makes more sense to me to balance the hormones, but I'm by far not the expert here on that.

I'm sure others will give you some solid advice.

Anne

Mollyann said what I was going to, that it sounds like you may have PCOS and that it's related to problems regulating insulin. Metformin has helped many women with PCOS, but this condition is also EXTREMELY responsive to diet and lifestyle changes.

Specifically, you should eliminate all simple carbs for a while (including sugar, refined flour, etc.). Try eliminating them altogether for a few weeks, then you can add a small amount back in but only as part of a meal with protein and healthy fat.

DEFINITELY be sure to exercise several times a week.

Cinnamon has been shown to have a similar blood sugar regulating effect as Metformin, although you shouldn't take them both together. (Obviously, small amounts of cinnamon in food are okay if you decide to take Metformin, but don't take it as a separate daily supplement if you go on Metformin.)

Go to bed early every night (by 11:00 at the latest), and sleep in 100% complete darkness (not even a clock radio emitting light). This will help regulate melatonin which in turn helps regulate other hormones.

I'm not familiar with Spirolactinone, but if that's a chemical drug, I would personally NEVER take it. Drugs are a quick fix (which, granted, sometimes is needed, especially when dealing with a life-endangering situation like cancer!), but drugs always have detrimental side effects, whether apparent or not. Attacking it with a natural approach is a lot more work and takes longer to take effect, but it's SO much better for you and has only *positive* side effects, not negative ones. For instance, by doing the above things to get your blood sugar and androgen levels back in balance, it will also balance your other hormones, give you more energy, and 100 other positive things.

Is the acne on your chin by chance where your bike helmet rubs across it?

Just a thought.

Good luck on your century. I've never done one, but did 360 miles in 6 days a few weeks ago. Longest day was 72 miles.

Anne

It is important to combine protein with carbs to get the best benefit when training.  It helps to keep from having blood sugar spikes and lows.  It is possible that all that great exercise has changed your hormone balance. 

Roseann