Probably not.
From what I understand, doctors are allowed to prescribe medication only for the conditions it is "indicated" for. Say f'rinstance, there was a drug that was approved for folks with macular degeneration (eye problems) that someone wanted to use to treat an ingrown toenail. No way could an average patient persuade a doctor to prescribe that stuff . . . Firstly, the doc wouldn't think it would be useful, secondly, he'd be risking problems with the state licensing board should they find out, thirdly, he'd be risking a malpractice lawsuit, particularly if anything untoward should ocurr.
I read in one of the mags that there's a medical study going on right now (in Germany, I think) on the efficacy of using Nolvadex to treat gyno. It won't be until after several positive outcomes of these kinds of studies that Nolvadex's list of indications will include gyno.
But . . . if you're on real good terms with your doc, like golf buddies or sex partners or something, chances are pretty gosh darn good of getting pretty near anything your heart desires. So . . . there's that to consider . . .