
Originally Posted by
Swifto
Progesterone related gyno is rare IMHO. The true culprit is estrogen and possibly prolactin.
But there is no evidence 19-Nors actually increase prolactin.
In any case, if the problem is estrogen and/or progesterone, start Tamoxifen treatment immediately at 20mg/ED, then back down to 10mg/ED as a maintenence dose.
But then, if estrogen is controlled, so should prolactin due to how estrogen/prolactin is regulated.
Use an AI (Aromasin) keep a dopamine agonist on hand or run it if you suffer from elevated prolectin and if you run into problems, run Tamoxifen at 20mg/ED, then down to 10mg/ED or increase your AI dose.