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Important information for gynecomastia

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Offline headheldhigh01

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Re: Important information for gynecomastia
« Reply #30 on: July 08, 2004, 10:21:56 PM »
sorry to tell you, but it still sounds like gyne anyway.  exercises will not make it go away, only surgery will help now.  

welcome and good luck.  

* a man is more than a body will ever tell
* if it screws up your life the same, is there really any such thing as "mild" gyne?


Offline glinja

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Re: Important information for gynecomastia
« Reply #31 on: July 09, 2004, 12:17:50 PM »
Can we call a conclusion, to this thread now, and really call it closed forever.
I, for one hated hyp0's threads, (however well meaning)
Beecause for one, they started a mis-informoned and a scare mongering efffect on genuine guys on here, that were just after a lttle info.
If anyone wnts to challenge this littel post, and its ikkle spelling mististakes, then so be it...


Offline GynoVict1m

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Re: Important information for gynecomastia
« Reply #32 on: October 25, 2004, 05:29:04 PM »
Unfortunately banning people from internet forums isn't really possible

Actually, it is. You can IP ban the person, which means they can still access this site and post, but only from another computer. The computer with the IP that was banned cannot access posting abilities.

Re: Important information for gynecomastia
« Reply #33 on: October 27, 2004, 11:14:21 AM »
If the ISP dynamically assigns IPs and the lease expires the IP address can change or switching ISPs will change the IP.  For someone behind NAT/firewall/proxy banning a single IP could effectively ban a whole group of users.

It may not be impossible to enforce a ban but it is pretty hard.



Offline mc_robbiedawg

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Re: Important information for gynecomastia
« Reply #34 on: November 18, 2004, 03:28:18 PM »
Just a simple question on this topic of low testosterone- does the treatment for this condition have any side affects??
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Offline hypo

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Re: Important information for gynecomastia
« Reply #35 on: November 23, 2004, 12:50:10 PM »

I am on said treatment, what would you like to know?


Offline SRK

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Re: Important information for gynecomastia
« Reply #36 on: January 10, 2005, 09:32:16 PM »
hi hypo,
u seemed to be a very knwledgable guy...i am a newbie.
c i hav gynecomastia...doues alcohol cause gynecomastia...i have done my liver function test, i dunno suffer frm cirhosis of liver but my bilirubuin level is high...i drink once or twice in a week..and i feel tht my breasts r growing. i am 5ft8inch's tall n 83 kilos.my chest measurement is 41inch's when measured round the nipples. does alcchohol cause gynecomastia.
One more thing......after exercising or immediately after a bath my nipples r firm and after some time they again loosen.....is thid due to hormonal imbalance...my nipples r of normal size...plz help :'(
a man walkin with gyno is a man walkin with a heart of steel


Offline hypo

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Re: Important information for gynecomastia
« Reply #37 on: January 11, 2005, 01:47:30 AM »
8% of all gynecomastia sufferers have cirrhosis and 10% of all gynecomastia sufferers have testosterone deficiency (hypogonadism), both of which can be caused be excess Alcohol consumption, though usually by long term or very heavy alcohol consumption.

Moderate drinking of alcohol lowers testosterone levels in the short term, but this is rarely an issue or cause of gynecomastia, but it can be a factor in those that already have an underlying condition or borderline low testosterone levels.

Bilirubin can be elevated in liver disease, but in of itself doesn't tell you an awful lot (at least as far as I am aware).

You say you have had a liver function test, what has your doctor told you?  He should be pretty clear and tell you if there appears to be a problem and if necessary refer you onto to a hepatologist (liver expert).

If you are being referred on to see a hepatologist or there is an indication of poor liver function, you should abstain from drinking until you have obtained advice about this from your doctor or specialist.    

You need a clear response from your doctor, you need to know if there is a problem and you need to follow their advice regarding your alcohol consumption.  

Whether or not you have a problem with your liver you may want to have your hormone status checked to see if there is an underlying hormone imbalance.

To do this you would need to get a referral to see an endocrinologist (hormone expert) from your doctor or if you are in the US make a phone call to the office of an endocrinologist with a view to making an appointment.

A typical hormone profile would consist of;

Total or free Testosterone

Some people may wish to also have their thyroid checked, given that thyroid problems also causes around 2% of all gynecomastia cases.

If you are in the US and wish to see an endocrinologist, tell me whereabout you live and i'll go a get the information for you.

If you live in the UK like myself and wish to have your hormones checked, the best thing to do is to go and see your gp and say that you want your testosterone profile checked given your gynecomastia.

I hopr that helps.

Re: Important information for gynecomastia
« Reply #38 on: January 11, 2005, 01:25:54 PM »
my pituratary gland(forgive spelling) stopped working and trigger low testerone, being tired etc....so I have been on the gel for 9 months and have devloped gynecomastia. so my question is as they change and grow, what happens. I have puffy nipples and have increasing tissue, how big will they get or how sensative, things like that. any help you can give will be greatly appreicated



Offline hypo

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Re: Important information for gynecomastia
« Reply #39 on: January 13, 2005, 12:17:09 PM »
Hi drush,

So you've been diagnosed as having secondary or hypogonadotropic hypogonadism as it is medically termed.  

Your pituitary (hormone control panel) is faulty and provides an insufficient hourly pulsation of the messenger hormones LH (Luteinising Hormone) and FSH (Follicle Stimulating Hormone) to your testosterone and sperm production factories- the testicles.  Your testicles stopped producing sufficient testosterone via the leydig cells and less sperm via sertoli cells, because your pituitary "lost the plot".  

Unfortunately some people who go on TRT (testosterone replacement therapy) convert (aromatase) to much of that TRT into estradiol and this leads to gynecomatia.  In other people the cause can be high SHBG and in others a more complex issue that is hard to decipher, that I shall leave to your endocrinologist (although one cause can be metabolic hypogonadism as explained by Eugene Shippen in his book Testosterone Syndrome).  Given that the most common cause of gynecomatia in this context is due to estradiol, it is that I shall speak about.  

How much the gynecomastia will grow if you are left on your current treatment is difficult if not impossible to say, although it will if left probably settle down quite soon.  This is a vague statement, but as firm an answer as can be given, it is not satisfactory so I shall try and provide more info to help you.

As it stands, even if the gynecomastia does settle down soon, you will still have an underlying hormone imbalance that can negatively affect your health.

Problems caused by high estradiol in the male endocrine system;

A) According to the latest research thought to be a prime culprit in the statistical increase in prostate cancer.

B) Can make it difficult to reach orgasm, reduce your libido and cause erection difficulties in some men if high.

C) Blocks testosterone receptor sites meaning reduced effectiveness of TRT.  So some of your testosterone is being converted to estradiol, something that would not have happened when you first took TRT (until recognized by the pituitary and affected by the negative feedback mechanism) and some of your testosterone is being blocked at the receptor sites.

A double whammy.
If this is the cause of your gynecomastia I'd wager that you felt great early on with TRT (between 1 day and 3 weeks) but some of those feelings of well-being died off within a short space of time.

Did this happen?  

I think you and your endocrinologist need to look at your treatment options to halt the gynecomastia and maybe reduce/resolve it.  To correct this hormone imbalance and hopefully allow you to feel even better on your medication.

So what meds? What changes? What to do?

Well of course the first thing you need to do is have your endocrinologist perform pathology investigations to see how high your testosterone, estradiol and SHBG are.

If SHBG (not mentioned so far) is high this can be lowered by medication which will increase your fraction of free testosterone.  This would alter your androgen to estrogen balance in favor of androgens and help to halt and maybe reduce the gynecomastia.

If SHBG is not an issue, then the question is how high is your estradiol?

Lest assume that your estradiol is high.

The decision on all this can only be made by you, it is your prerogative to make the decisions that you see as right for your health in conjunction with your doctor.  But I shall outline some of the available options.

Most men who have high estrogen try to lower that first and look at the Testosterone medication later.  Certainly it can make more sense to deal with one thing at a time so that it is possible to understand why changes are positive or negative.

One medication to lower estradiol is Arimidex.
Arimidex is a very powerful aromatase inhibitor; it helps prevents/lower the conversion of testosterone to estradiol.  Some men find this effective in small doses and your doctor may trial you on this medication.

Another option would be to go a natural route to reducing the estrogen.  Zinc is a natural aromatase inhibitor when taken at RDA levels and combined with the use of DIM with indolplex can help some men lower their estrogen levels.

Another option is reducing your testosterone dose as this can lower the conversion of testosterone to estrogen.  I am not a fan of this unless you are overdosed.

You could try another form of testosterone therapy to see if you fair better.  You said you are on gel so I am presuming Androgel or Testim.  If your on one you could try the other, alternatively some people fair better on implants

You could try Andractim another form of androgen replacement instead of testosterone.  Your estradiol level would come down and it would minimize the effects of estradiol and reduce your gynecomastia. This is because Andractim cannot be converted to estradiol as it is the powerful non aromatizing androgen dihydrotestosterone.  Some people will fair well on this therapy others will not.  Some people feel too tired on this therapy (double the dose of that used to simply to treat gynecomastia is often required) as testosterone is required for stamina and energy and it doesn’t help that.

Another option in your case would be to look at testosterone in a different way.  Sometimes doctors look at testosterone as the only medication for hypogonadism.  But given the fact that your testicles work another option would be to treat your pituitary insufficiency.  To tell your pituitary to produce the messenger hormones so your tetsicles produce their own testosterone.

I think this is a superior and more natural treatment for those who have hypogonadotropic hypogonadism like yourself.

HCG (Human Chorionic Gonadotropin) and even possibly tribulus are treatments that may work better for you.  Certainly they are treatment options that your doctor should have explained and laid before you at the time of offering you treatment (I hope they did that?).  The advantage of these treatments are a) your body would be producing its own testosterone, B) your testicles would remain fully functional and would not shrink (if they have already they would return to full size) and C) they ensure continued fertility something that testosterone destroys over time.

This is a website/support group for hypogonadism.


You will find support and a great deal of help here.

Books that I would recommend are Testosterone Revolution by Malcolm Carruthers endocrinologist M.D and Testosterone Syndrome by Eugene Shippen endocrinologist M.D

I apologize for not answering/replying to your post sooner.  I hope this helps.

Re: Important information for gynecomastia
« Reply #40 on: January 13, 2005, 02:10:29 PM »
thanks for answering, and thanks for the info, I will ask doc about some of these things. your reply was very helpful.

thanks again



Re: Important information for gynecomastia
« Reply #41 on: January 16, 2005, 02:57:04 AM »

Thanks for a well written info.

I am getting my blood tests again next week.  I do this about every 6 months.  If my Estradiol E2 is as high as I suspect I will start on the Indolplex DIM as described in the Yahoo group.   I am trying to get my endo to prescribe some hCG, but he is of the old school.
High E2 causes me erection problems as well as other things.

As many here know I have had Gyne since age 12 & do not blame my breasts for my problems.  I have grown to accept them as a natural part of me.  They are now a 40 "D" & I intend to keep them.

The Yahoo site is very informative.


Offline Kevin

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Re: Important information for gynecomastia
« Reply #42 on: January 23, 2005, 11:40:13 PM »
What do you think of Proviron (mesterolone) as treatment for hypogonadism? Proviron is 100% non-toxic to the liver and doesn't aromatose into estrogen.
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Offline Paa_Paw

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Re: Important information for gynecomastia
« Reply #43 on: January 24, 2005, 01:06:53 AM »

Most of this hormone talk is frankly over my head!

High levels of estrogen compounds have several other effects.  Migraine headaches is one, I had them for years.  Another is clotting problems.  Phlebitis, Pulmonary Thrombosis and Stroke are all clotting issues.
Reducing this potential (even if remote) danger may be as easy as taking a small dose of aspirin daily. This is another thing to ask the Doctor about
Grandpa Dan


Offline hypo

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Re: Important information for gynecomastia
« Reply #44 on: January 24, 2005, 05:04:13 PM »
Hi Kevin,

I presume you have been diagnosed as suffering from testosterone deficiency (hypogonadism) and answer your question in that manner.

That form of medication is ok for some people who suffer from hypogonadism, but for many it just isn't efficient enough.  For many people, too much of the testosterone is metabolised and therefore their testosterone level isn't raised enough to really help them.  Best to take it with meals by the way!

But with so many differing treatments out there and so many people with differing problems I think it is a case of horses for courses. I mean if a form of medication works well for an individual and their pathology shows that they are not likely to suffer from health problems then I say...great! and if it ain't broke don't try to fix it.

Just to make it clear I am saying if you feel great on this med and that is backed up by healthy pathology numbers, then great.  But if YOU don’t feel good, quite frankly I don’t care what the numbers say or what any doctor who wants to justify them is trying to say either, because it means you need to try a different form of treatment.

If you are on Proviron and you feel tired/lethargic, depressed, have joint/lower back pain, sexual issues etc; then it s not working and you need a different treatment.

A medication using a similar low aromatase method of testosterone delivery but via a long acting injection that is supposed to be more effective has just hit the market in Europe- called Nebido.  I don’t know when it is due for release in the US, but I think you should enquire about it.

I hope you are seeing a good endocrinologist.  

If you are from the US, guidelines were published in 2002 for the treatment of hypogonadism by the AACE (American Association of Clinical Endocrinologists).  

They are quite forward thinking.  If you are in the US and you are not under an endo or unhappy with your treatment, let me know and let me know where in the US you live and I will give you the contact details for AACE recommended endocrinologists in your area.

Below is a hypogonadism support group that can help you with all questions relating to this condition.  It is a place where answers and help can be found.


Any questions you still have for me..fire away.