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Q: Gynecomastia treatment ?
asked by: Haisook on April 28th, 2009
New User
I'm a 22-year-old medical student. I've had gynecomastia since I hit puberty, that was around 6 years ago or more. Although it's pretty mild (it's not really visible when I'm clothed), now I do want to get rid of it. I can afford surgery, but I wanted to know if medical treatment could help before I take the choice of surgery.

I recently did some lab tests for my testosterone, estradiol, HCG, and LH levels to rule out any hormonal abnormality and they all came out within normal range. Furthermore, I don't have any liver disease, and erection and ejaculation are normal, and libido is present. That means, I think, that the gynecomastia I have is what they call "Persistent Pubertal Gynecomastia".

From my readings on the internet, I've learned that some anti-estrogen drugs can help. Tamoxifen, particularly, is recommended because of its selectivity and fewer side effects. However, I've also read that these drugs are only helpful during the growth of the mass. Now that I'm likely out of puberty, I wonder if they would be of any effect. I still feel some tingling sensations every now and then around the nipples, but not as often as I used to feel years ago. That makes me wonder if my breasts are still estrogen-sensitive.

So, in short, my question is: Should I try a 3-month course of Tamoxifen as recommended? or will I inevitably need the surgery? Or is there a 3rd choice I'm not aware of?

Any help would be appreciated.
Thank you.
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Replies(10)
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Haisook
replied on May 4th, 2009
New User
Any doctor in here??
....
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Nick157
replied on June 9th, 2009
Experienced User
There is no treatment other than surgery. Don't fall prey to scams such as Gynemax.
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fgdfg
replied on June 29th, 2009
New User
Here is the truth.

Your gynecomastia was probably caused by the high levels of hormones during puberty. During puberty many boys actually develop breast tissue but it goes away after a while when hormone levels become less erratic. this would have been the best time to use the drug you mentioned.

Anti estrogens like tamoxifen can reverse the development of breast tissue at the early stages. but after a while that breast tissue changes structure and becomes permanently fixed.

but it does not fix gynecomastia that's been there a long time. Were talking about less than a year maybe two years but after a while the breast tissue changes structure and becomes permanent and surgery is the only case. in your case surgery is the only case after six years but if you do decide to try an anti estrogen drug try femara as it's a lot more powerful than tamoxfien and has been proven to aggressively reverse breast tissue development.

You can try femara and wish the best but I'm 99% sure it will not work. your only choice is surgery.

this is from experience and I'm not a professional.
I've personally tried femara after having gynecomastia for 5 years and it did not work.
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Poster
replied on August 27th, 2009
New User
hello,
what about Andractim gel ?
It's a local Dihydrotestesterone ?
My Gynecoamastia is not mild at all !
I'm thinkink about trying it befose the surgery
i dont want it to completely remove it
I just want to diminish it alittle bit
so Will Andractim help ?
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jackwilson
replied on September 21st, 2009
New User
Hey guys,

Today I had my gyno surgery. I finally stepped up to the plate and did it. This is my story about how it went.

I have had this gyno since I first hit puberty. I was always pretty skinny buy I had a pointy chest, this stopped me from going to the beach with my shirt off when I got a little older, I never went to the pools etc. It really bothered me. I thought at first I must have had fat around my chest because I was just unlucky and this is where my fat was stored. I started working out when I was around 22 and went to the gym 5 days a week. I toned up and got to be very skinny but the fat around my chest never seemed to get any lower. I searched on Google and came across many sites and that’s when I first thought that I might have had gyno. I didn’t do anything about it until I was 24 because I was scared of going under the knife. Well finally I decided that something had to be done.

I started searching the net for surgeons who could do the surgery and ended up deciding to use Dr. Ashley Granot from the Ashley Centre in Melbourne. I went to see him for a consultation and had all the blood tests. It turns out that all my blood work was perfectly normal for a guy my age. They didn’t have a reason why I had gyno; it was just one of those things. Anyway the surgery set me back $4500 all up including EVERYTHING.

On the day that I was going into surgery I wasn’t allowed to eat anything for 6 hours before operation. I went in and I was nervous as anything. They got me to strip down into a surgical gown and the nurse gave me an intramuscular injection into my glute, it was pain killer and relaxants. I thought it was going to hurt but it didn’t hurt that much at all. After that another nurse put a drip into my arm, I thought it was going to hurt again, but it didn’t, they put heaps of saline into the drip.

After about 15 minutes of waiting for the drugs to kick in the doctor came into the room and cut an incision into my armpit. He inserted a clear plastic tube into the incision and started to pump me full of muscle relaxants, pain killer and something to dilute the fat. He put about 800mls into my chest. After that we waited another 15 minutes for the pain killer and fat diluting solution to start working. The inserting of the clear plastic tube was the most painful part of the surgery. I think painful is a bit harsh of a word. I would say it was VERY uncomfortable. As he was pushing in the tube I could feel the fat ripping away from the muscle below it.

After that he got the liposuction canula and started sucking out the fat. This took a fair while and didn’t hurt for the most part. A few times he hit a hard part of fat which would hurt very slightly but it was bearable. When he finished sucking out all the fat there was still a bit of breast tissue which he could not get out through the canula because it was too hard. So he made an incision around my nipple and pulled it out with some tweezer looking things and he just cut it. This was uncomfortable as I could feel the tissues being ripped out of my chest. But it didn’t hurt. After this was done he sewed me up and I could sit up and put on my compression vest.

Throughout the entire procedure I was awake and could see what was going on. I was sedated but not fully knocked out. The doctor said he did not want to give me general anesthetic and knock me out fully because that was too risky for a minor procedure. He said something like 1 in 10,000 people die from an allergic reaction to general anesthetic or something like that. Plus I wanted to be awake because I didn’t want anything to stuff up and I had heard some horror stories about doctors cutting out chest muscles and stuff like that. I was talking throughout the whole procedure, probably a lot of jibberish cause of all the relaxants but yea.

All in all I am happy that I finally have my gyno gone and I have a flat chest. I only did the surgery this morning and I am already up and about. It doesn’t hurt much at all, it just feels like a really hard gym workout session and I can’t lift my arms over my head. Other than that I got some pain killers but I don’t even need them. If you are thinking about doing this, just DO IT. Don’t be scared of the surgery it’s not that bad.

If you have any questions ill be happy to answer them. Tomorrow I have to go back to the surgery for a post op check up.

My chest is FLAT!!!!!!!


Hope I have helped someone out there!
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thanneshanjona
replied on September 22nd, 2009
New User
My relationship with Dr. Ashley Granot’s office staff has been longstanding.  The staff is friendly, supportive and accommodating.  I had spoken with him about liposuction, and  he explained thoroughly the technique used and the potential risk.  The surgical procedure was uneventful. I was comfortable and remember nothing of the actual procedure. The recovery period was a "piece of cake."
Although I had been told not to expect to see results immediately, I noticed results within 10 days. My clothes fit — most were loose. I loved the results. My only regret is that I didn’t do it sooner.
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ebere
replied on September 29th, 2009
New User
I had a lot of acne n pimples on my face due to which I used to feel quite embarrassed. I tried many treatments and soaps and creams available in the market but it did not help.
One of my friends told me about Ashley Centre where I got personal consultation as well as specialized Acne treatment and now i have a glowing facial skin free of acne and pimples. Thanks to Ashley Centre!
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JackGibson
replied on September 30th, 2009
New User
The Ashley Centre, Burke Rd Malvern has the most experienced practitioners in the state, & most current state of the art IPL machines available in AUS!
Ask for Dr Jennifer Wilson, she is brilliant!
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Barrington
replied on October 13th, 2009
New User
I was the guy on the beach that never took his T-shirt off because I was embarrassed of my back and chest hair, I never did anything about it because I thought, I was the only guy that was that hairy. Then I got to know about Dr. Ashley Granot, so I thought of giving it a chance. The staff at The Ashley Centre made me feel so comfortable and I have never looked back! I have had 2 treatments of laser hair removal and already the results are great.
Cheers!!!!! Dr. Ashley Granot
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jaff
replied on October 23rd, 2009
New User
I agree.. Ashley Centre is a one stop destination for all your cosmetic surgery needs!
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