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Antiandrogens like spironolactone are male-specific teratogens which can feminize male fetuses due to their antiandrogen effects (see below ).    For this reason, it is recommended that antiandrogens only be used to treat women who are of reproductive age in conjunction with adequate contraception.    Oral contraceptives, which contain an estrogen and a progestin , are typically used for this purpose.  Moreover, oral contraceptives themselves are functional antiandrogens and are independently effective in the treatment of androgen-dependent skin and hair conditions, and hence can significantly augment the effectiveness of antiandrogens in the treatment of such conditions.  
It could be argued that aromatization is a non-issue, as an . could always be employed to counter estrogen conversion. This is true, but I believe there is a simpler way to go about it. In my opinion, the ideal pre-contest MPD cycle should consist of a low dose of testosterone propionate (150-200 mg/week), as at least some estrogen is needed to maintain a healthy looking skin tone. This should be combined with 2-3 other anabolics; preferably 1-2 oral anabolics and 1-2 injectables anabolics. Some good examples of orals include: Anavar, Epistane, and Turinabol. As for injectables, most people usually find the following drugs to be compatible: Primo, Boldenone, and Dihydroboldenone (1-testosterone).