I have the lean subtype, high-normal testosterone, and have 2 periods a month. My progesterone is low-normal and my estrogen is on the lower side too. I dont have any signs of high androgens like excessive hair, except for a somewhat lower voice/oily skin. I’m already on 50mg spironolactone which cleared up my acne.
The spiro is a legit life saver. If you’re consistent with it, it should also seriously help your cramps and any other period issues. I’ve noticed my cramps get pretty bad if I’m not consistent with it. Tbh those meds pretty much solved everything for me, but I can answer any specific questions you might have!