GET SOME ARIMIDEX ASAP. IF YOU HAVE A PALPABLE LUMP(KNOT) THEN THE NOLVADEX WILL SIMPLY SLOW THE PROCESS, PERHAPS STOP IT. IF AFTER YOU CLEAN OUT THE LUMP IS STILL THERE THEN YOU WILL PROBABLY NEED SURGERY TO GET RID OF IT. ALTHOUGH IT IS USUALLY NOT CRITICAL TO HAVE THIS DONE. YOU WILL DEFINATLEY NEED THE NOVA OR ARIMIDEX FOR ALL SUBSEQUENT CYCLES. DO NOT PANIC! IF YOU CANNOT GET THE ARIMIDEX THEN CONTINUE THE NOLVADEX 7-10 DAYS AFTER CEASING THE CLOMID. I WOULD ALSO STOP THE CLOMID IF THE BOYS HAVE COME BACK TO SIZE. IT WILL CAUSE A NATURAL TEST SPIKE THAT WILL EXACERBATE THE GYNO(IF THAT IS WHAT YOU HAVE).