Gyno exam

[teedoff]

So I'd posted and made comments in here previously about thinking I had a mild case of gyno JUST from trt. Admittedly, when I moved to injections about 3 months ago, I was using more than I should. I was doing 200mg test c once a week. Labs showed my test at over 1400. Can't remember my free test or estrogen right now. I've since dropped that down to 150mg a week split into two doses 75mg each.

Anyway, I honestly wasn't sure it was gyno. My left nipple felt weird and there seemed to be a lump under it towards the top side. But....the right nipple also isn't exactly smooth, but it never felt sore. I thought maybe the lump is normal tissue. Maybe the soreness I'm feeling is just from me pressing on it so much.

Went to my pcp yesterday and explained this to her. Also told her I'd switched to injections, prescribed my a hormonal clinic, which she was fine with.

She examed my breasts and also agreed my left one has a lump. So.....ultra sound is on the books and will be scheduled when they call me.

I asked my pcp what alternatives I had. She basically said surgery or stop using trt if it wqs indeed causing the gyno. I asked her a out the use if inhibitors and such. She said that wasn't something they do, and would.be in the realm of the hormone clinic Dr i saw.

Just think it's odd that, if Dr prescribed trt therapy is causing side affects, like gyno, the only options are surgery or to stop trt. Wow!

[teedoff]

BTW. Labs again tomorrow to see where my test is at with my new dose.

[956Vette]

BTW. Labs again tomorrow to see where my test is at with my new dose.

May want to cut back to 50-60mg injections, sounds like you're still on a high dosage.

[teedoff]

May want to cut back to 50-60mg injections, sounds like you're still on a high dosage.

Possibly, but I still feel great. I'll know my levels for sure in a few days.

[956Vette]

Just think it's odd that, if Dr prescribed trt therapy is causing side affects, like gyno, the only options are surgery or to stop trt. Wow!

Not odd in the least. Sorry you're among the unlucky, welcome to the club.

While your PCP is right, recommend finding a new doctor who isn't as concerning in limiting their own liability & sending you on a goose chase (ultrasound, da fuk is the plan there, lol...should have been able to Rx tamoxifen).

[teedoff]

Not odd in the least. Sorry you're among the unlucky, welcome to the club.

While your PCP is right, recommend finding a new doctor who isn't as concerning in limiting their own liability & sending you on a goose chase (ultrasound, da fuk is the plan there, lol...should have been able to Rx tamoxifen).

I have a pa at the hormone clinic. He'll for sure prescribe me something. As far as I know he will anyway. But I assumed the ultrasound would rule out some other issues. Tumor or such, and confirm it's just gyno.

[956Vette]

I have a pa at the hormone clinic. He'll for sure prescribe me something. As far as I know he will anyway. But I assumed the ultrasound would rule out some other issues. Tumor or such, and confirm it's just gyno.

Beg your pardon if my reply guy comments come off as overly brazen. Of course your hormone clinic will sell you something, front of mind questions are will they offer any help beyond an industry standard aromatase inhibitor and do they work with your insurance to cut costs? It's on us to ask for a more nuanced solution as most bozos in your shoes receive 1mg arimidex, which hurts a lot of ppl in our community (torn muscles, joint pain, limp dicks/etc).
Sad that your primary doctor would exploit insurance, sending you to a specialist as compared to writing a $20 Rx for a SERM while you wait to be seen at your testosterone distributor. Possibly you'll hit the (breast cancer biopsy) lottery and be able to have insurance pay for your gyno operation as compared to the rest paying through the nose at plastic surgeons to find relief. Best of luck!!!

[Cylon357]

Not odd in the least. Sorry you're among the unlucky, welcome to the club.

While your PCP is right, recommend finding a new doctor who isn't as concerning in limiting their own liability & sending you on a goose chase (ultrasound, da fuk is the plan there, lol...should have been able to Rx tamoxifen).

That is where you start, before ultrasounds, before pretty much anything else. It is readily available, your clinic should (ok, MAY) have it on hand.

[teedoff]

That is where you start, before ultrasounds, before pretty much anything else. It is readily available, your clinic should (ok, MAY) have it on hand.

Agreed. I'll have the ultrasound to rule out anything other than gyno. I'll then do the nolvadex route.

But I'm wondering. Since trt is for the rest of my life, not sure I wanna deal with having to take another compound as well for the rest of my life. Perhaps nolvadex is pretty tame? Few sides? But I'm sure there are issues from long term use.

[956Vette]

Agreed. I'll have the ultrasound to rule out anything other than gyno. I'll then do the nolvadex route.

But I'm wondering. Since trt is for the rest of my life, not sure I wanna deal with having to take another compound as well for the rest of my life. Perhaps nolvadex is pretty tame? Few sides? But I'm sure there are issues from long term use.

Going out on a ledge here, please forgive me, it's not a tumor and you're over-dosing on testosterone. Going to need to give serious consideration to surgery, or quit TRT, as your primary care doctor suggested. Expect to add to the complication had you waste time/energy proving it's not a tumor/cancer, take responsibility immediately and dose AI/SERM cocktail (short-term) to nip your gyno in the bud and get on the right track.

[Cylon357]

Agreed. I'll have the ultrasound to rule out anything other than gyno. I'll then do the nolvadex route.

But I'm wondering. Since trt is for the rest of my life, not sure I wanna deal with having to take another compound as well for the rest of my life. Perhaps nolvadex is pretty tame? Few sides? But I'm sure there are issues from long term use.

Nolva... I would avoid it long term, though I have read some accounts of men using it as HRT. I personally would not though.

You have several options besides quitting TRT though.

1 - Lower your dose
2 - Switch to sub-q microdosing, 5 to 7 days a week
3 - add a DHT compound like masteron at low dose
4 - give compounded CREAM a try, 20%, not that 1% GEL stuff

That last one worked to crank up my DHT and keep E2 middle of the road. Gyno simply can't form in that environment. LOTS of people will say "the creams don't work SQUACK!" yet the proof, at least for me, is in the blood work.

That said, any of those first three, alone or in combination, are excellent choices, too.

Just noticed in your OP you said:

Also told her I'd switched to injections

I added the emphasis there, but were you on some other TRT therapy prior?

[teedoff]

Going out on a ledge here, please forgive me, it's not a tumor and you're over-dosing on testosterone. Going to need to give serious consideration to surgery, or quit TRT, as your primary care doctor suggested. Expect to add to the complication had you waste time/energy proving it's not a tumor/cancer, take responsibility immediately and dose AI/SERM cocktail (short-term) to nip your gyno in the bud and get on the right track.

Hard to believe im overdosing, but my labs will tell me that tomorrow. I was doing 200mg a week and my test was 1400+. I'm hoping dropping down to 75mg twice a week will put me under 1000, but if not, I'm not far off. But I guess its possible I'm still high. But.....I was noticing the nip sensitivity even when on the gel and my test levels were little over 600.

Also, not sure its a waste of time getting an ultrasound. IF I'm just one of the unlucky ones that is very gyno prone even just on trt, and the need arises that I am forced to have surgery, this would be part of the process. Surgery is done in the conventional medical world. Not the fringe hormone clinics that are cool prescribing gear and serms and stuff like that. So really covering my bases. Also I have really good insurance. lol

Nolva... I would avoid it long term, though I have read some accounts of men using it as HRT. I personally would not though.

You have several options besides quitting TRT though.

1 - Lower your dose
2 - Switch to sub-q microdosing, 5 to 7 days a week
3 - add a DHT compound like masteron at low dose
4 - give compounded CREAM a try, 20%, not that 1% GEL stuff

That last one worked to crank up my DHT and keep E2 middle of the road. Gyno simply can't form in that environment. LOTS of people will say "the creams don't work SQUACK!" yet the proof, at least for me, is in the blood work.

That said, any of those first three, alone or in combination, are excellent choices, too.

Just noticed in your OP you said:



I added the emphasis there, but were you on some other TRT therapy prior?

Yes I was on the gel for 2 years or so. My labs looked good for that time, until I went to a urologist. He pulled labs and it was back down around 300. He suggested I do two pumps of gel, which I did for a month or so until I went to this hormone clinic and he convinced me to switch to injections and wrote the script.